title: [Ambulant Management in Case of Premature Rupture of Membranes (PROM) at Term: Maternal and Perinatal Outcome].
abstract: Introduction:It is estimated that after premature rupture of membranes (PROM) at term, 60% of all women go into labour within 48 h, 95% within 72 h. Often labour is induced after 24 h because the risk of maternal and neonatal infection rises. The majority of clinicians advise hospital care to allow monitoring and detection of problems. But for low-risk patients who meet strict inclusion criteria, sometimes home management is possible. This study examines the safety and costs of home management.Material and Methods:We included 239 patients with PROM at term, 202 of them with hospital and 37 with home management. Patients who met the inclusion criteria were checked 12 h after PROM and were induced by the end of 24 h if labour had not begun spontaneously.Results:There were no differences in maternal or neonatal outcome. Women with home management were likely to spend less time in hospital and this was associated with reduced costs.Conclusion:Women with outpatient management of PROM had a shorter hospitalization stay without negative impact on maternal or fetal outcome. In times of increasing financial pressure on the medical system, outpatient management for PROM seems to be a viable option.
authors.affiliation: Universitätsfrauenklinik Basel, Basel, Schweiz.
authors.forename: G
authors.initials: G
authors.lastname: Vetter
authors.affiliation: Universitätsfrauenklinik Basel, Basel, Schweiz.
authors.forename: A
authors.initials: A
authors.lastname: Knipprath
authors.affiliation: Universitätsfrauenklinik Basel, Basel, Schweiz.
authors.forename: A
authors.initials: A
authors.lastname: Niklaus
authors.affiliation: Universitätsfrauenklinik Basel, Basel, Schweiz.
authors.forename: N
authors.initials: N
authors.lastname: Kalberer
authors.affiliation: Universitätsfrauenklinik Basel, Basel, Schweiz.
authors.forename: I
authors.initials: I
authors.lastname: Hösli
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000191:economics* / Q000453:epidemiology / Q000451:nursing*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D013557:Switzerland / Q000453:epidemiology; D016896:Treatment Outcome; D055815:Young Adult