{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:11:07Z","timestamp":1772118667523,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether equivocal prelabor rupture of membranes (PROM) cases are associated with adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was conducted in a tertiary medical center between July 2012 and March 2022. The cohort comprised all women diagnosed with term PROM (\u226537 gestational weeks), divided into two groups. (1) Certain PROM\u2014suggestive history of a watery vaginal discharge confirmed by visualization of fluid leaking from the cervix or pooling in the vagina on speculum examination. (2) Uncertain PROM\u2014suggestive history of a watery vaginal discharge not supported by speculum examination. All patients were hospitalized and gave birth spontaneously or following either expectant management for up to 24\u2009h from PROM or induction. The primary outcome measure was cesarean delivery (CD) rate. Secondary outcome measures were adverse maternal\/neonatal events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 2012 women included in the study, 1750 had certain PROM and 262 uncertain PROM. CD rate was 5.8% in the certain PROM group and 8.8% in the uncertain PROM group; the difference was not statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.074). There was a significant between\u2010group difference in the rate of CD due to failed induction on univariate analysis (0.69% vs 2.67%, respectively,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007), but it was not maintained on multivariate logistic regression (odds ratio 0.37, 95% confidence interval: 0.12\u20131.17). Other maternal and neonatal outcomes were similar in the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings indicate that following the same management guidelines for equivocal cases of ruptured membranes as for confirmed cases of term PROM did not compromise maternal or fetal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15735","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T04:39:49Z","timestamp":1718339989000},"page":"773-778","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Uncertain prelabor rupture of membranes at term and associated delivery outcomes"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5953-1496","authenticated-orcid":false,"given":"Yossi","family":"Geron","sequence":"first","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noam","family":"Rozner Negrin","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ran","family":"Matot","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natav","family":"Hendin","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shir","family":"Danieli\u2010Gruber","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anat","family":"Shmueli","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Hadar","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women, Rabin Medical Center \u2013 Beilinson Hospital  Petach Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37\u2009weeks or more)","volume":"1","author":"Middleton P","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003700"},{"issue":"661","key":"e_1_2_9_4_1","first-page":"e1","article-title":"Management of premature rupture of membranes at term: the need to correct a recurring mistake in articles, 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