Re: Premature Amniorrexis

From: dahmd@gate.net
Sat Mar 23 19:07:03 1996


In article Sass21@aol.com writes:

>I would interpret this as meaning PPROM (premature preterm rupture of
>membranes) at 29 weeks. BTW
>Premature = before labor
>Preterm = before 36 weeks
> (just to clear up any confusion, my residents are sometimes unclear on this)
snip

>1. Lewis, DF et al, Latency Period after Preterm Premature Rupture of the
>Membranes: a Prospective, Randomized, Double-Blind Study Comparing Ampicillin
>and Ampicillin-Sulbactam. Obstetrics and Gynecology. 1995;86:392-395.

>A small study, but demonstrated that Unasyn may be superior to ampicillin
>alone, and it clearly led to increased latency times in this group.

>Do other members of this group believe in using antibiotics for PPROM? If
>so, which drugs?
>************************
>Casey Younkin, MD, FACOG

I have also changed from ampicillin to Unasyn after reading this study. Using antibiotics in cases of PPROM just makes sense to me.

By the way, it's a fairly small point, but I teach my residents that PPROM is the rupture of membranes before *37*, and not 36, weeks gestational age.

Thanks,

Ashley Hill D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net





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