Abstract
We tested the hypothesis that prolonged ROM over 24 hours (PROM) would result in a decreased incidence of HMD. We retrospectively reviewed 19,511 consecutive deliveries born during 1970-72 at MWH.
PROM was not associated with either 1) a decreased incidence of HMD or 2) a decreased mortality from HMD (See Table). Separate evaluation of vaginal and C-section deliveries did not alter this relationship. HMD was a major cause of death (COD) in infants 27-30 weeks (wk) gestation irrespective of dnration of ROM. Among infants 31-34 wk gestation, the risk of death from HMD and from INF was similar. In infants 35-38 wk, the risk of death from INF exceeded that from HMD.
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Stinson, D., Allen, A. & MacDonald, H. EFFECT OF DURATION OF RUPTURE OF MEMBRANES (ROM) ON HYALINE MEMBRANE DISEASE (HMD) AND INFECTION (INF). Pediatr Res 11, 580 (1977). https://doi.org/10.1203/00006450-197704000-01261
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DOI: https://doi.org/10.1203/00006450-197704000-01261