{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:20:22Z","timestamp":1792149622331,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T00:00:00Z","timestamp":1493856000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the incidence, clinical course, risk factors and outcomes of preterm prelabor rupture of membranes (<jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content>) after fetoscopic laser surgery (<jats:styled-content style=\"fixed-case\">FLS<\/jats:styled-content>) for twin\u2013twin transfusion syndrome (<jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective observational cohort study of 154 consecutive cases of <jats:styled-content style=\"fixed-case\">TTTS<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> was defined as rupture of membranes before 34\u2009weeks' gestation. Procedure\u2010to\u2010<jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content>\u2010to\u2010delivery intervals were determined. Relevant preoperative and intraoperative variables were analyzed by univariate and multivariate logistic regression to determine their impact on <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">FLS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> was 39% (<jats:italic>n<\/jats:italic>\u2009=\u200960), occurring at a mean gestational age of 27.2\u2009\u00b1\u20094.6\u2009weeks. Median procedure\u2010to\u2010<jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> interval was 46 (range, 1\u2013105; interquartile range (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>), 13\u201366) days and median <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content>\u2010to\u2010delivery interval was 1 (range, 0\u201393; <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>, 0\u201313) day. Mean gestational age at delivery in cases with <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> was 29.0\u2009\u00b1\u20094.5\u2009weeks compared with 32.6\u2009\u00b1\u20093.9\u2009weeks in cases without <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Insertion of a collagen plug was the only significant factor found on both univariate and multivariate analysis to be associated with an increased rate of <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> (odds ratio, 3.1 (95% CI, 1.2\u20138.0); <jats:italic>P<\/jats:italic>\u2009=\u20090.006). There was no statistically significant difference in fetal (<jats:italic>P<\/jats:italic>\u2009=\u20090.07) or neonatal (<jats:italic>P<\/jats:italic>\u2009=\u20090.08) survival between those with and those without <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">FLS<\/jats:styled-content> increases prematurity by 3.6\u2009weeks. The latency period after <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> was 2\u2009weeks; 50% of patients delivered within 24\u2009h. No variable thought to be associated with <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">FLS<\/jats:styled-content> was found to be significantly associated with this complication. Other etiologies and mechanisms for <jats:styled-content style=\"fixed-case\">PPROM<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">FLS<\/jats:styled-content> should be explored. Copyright \u00a9 2016 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.15958","type":"journal-article","created":{"date-parts":[[2016,5,6]],"date-time":"2016-05-06T16:31:09Z","timestamp":1462552269000},"page":"607-611","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Preterm prelabor rupture of membranes after fetoscopic laser surgery for twin\u2013twin transfusion syndrome"],"prefix":"10.1002","volume":"49","author":[{"given":"S.","family":"Snowise","sequence":"first","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. K.","family":"Mann","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"K. J.","family":"Moise","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. W.","family":"Bebbington","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Papanna","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine, Department of Obstetrics and Gynecology and Reproductive Sciences UT Health\u2010University of Texas Medical School at Houston and The Fetal Center at Children's Memorial Hermann Hospital  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032597"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.09.043"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.02.001"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2013.12.001"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000331165"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01337.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000098715"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01172-8"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1829"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91480-3"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13206"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d57335"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12487"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7476"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10132.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200292"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7495"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016925309136722"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050701591827"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.01.010"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.10.910"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2015.105"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.15958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.15958","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.15958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/uog.15958","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.15958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T10:38:03Z","timestamp":1692527883000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.15958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1002\/uog.15958"],"URL":"https:\/\/doi.org\/10.1002\/uog.15958","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]},"assertion":[{"value":"2016-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}