{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T17:16:20Z","timestamp":1783185380902,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T00:00:00Z","timestamp":1354752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>To report the outcomes of women admitted following preterm pre\u2010labour rupture of membranes (p<jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content>) and to determine whether the location of care (hospital vs outpatient) influences maternal and perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was performed using routinely collected de\u2010identified data of 144 women (between June 2007 and June 2011) who presented to the Mater Mother's Hospital, Brisbane, Australia, with p<jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content> (prior to 34\u00a0weeks 0\u00a0days gestation) and who remained undelivered after 72\u00a0h from the time of ruptured membranes. Outcomes were compared for women who were subsequently managed as an outpatient (<jats:italic>n<\/jats:italic>\u00a0=\u00a053) versus those who were managed in hospital (<jats:italic>n<\/jats:italic>\u00a0=\u00a091). The two primary outcome measures were composite outcomes of (i) maternal morbidity and (ii) perinatal morbidity\/mortality. The composite outcome of maternal morbidity comprised one or more of antepartum haemorrhage, clinical chorioamnionitis and\/or endometritis, cord prolapse, blood transfusion, wound infection\/haematoma\/dehiscence\/seroma. The composite outcome of perinatal morbidity\/mortality comprised one or more of stillbirth, neonatal death, respiratory distress syndrome, neonatal infection, chronic neonatal lung disease, intraventricular haemorrhage, periventricular leukomalacia and necrotising enterocolitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>When adjusted for confounders, there was no difference between hospital care and outpatient care in the composite outcome measure of perinatal morbidity\/mortality (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.37; 95%CI 0.55\u20133.47) or the composite outcome measure of maternal morbidity (a<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.62; 95%CI 0.67\u20133.89).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women with p<jats:styled-content style=\"fixed-case\">PROM<\/jats:styled-content> who remain undelivered after 72\u00a0h and are managed out of hospital do not appear to have significant differences in major adverse maternal or perinatal outcomes compared with those managed as inpatients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12021","type":"journal-article","created":{"date-parts":[[2012,12,6]],"date-time":"2012-12-06T06:30:41Z","timestamp":1354775441000},"page":"119-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Hospital versus outpatient care for preterm pre\u2010labour rupture of membranes"],"prefix":"10.1111","volume":"53","author":[{"given":"Michael","family":"Beckmann","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mater Health Services Raymond Terrace South Brisbane Queensland Australia"},{"name":"Mater Medical Research Institute Raymond Terrace South Brisbane Queensland 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