The effect of preterm premature rupture of membranes on neonatal outcomes in low-birth-weight infants: a retrospective study.

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Maternal-Fetal & Neonatal Medicine Pub Date : 2025-12-01 Epub Date: 2025-09-22 DOI:10.1080/14767058.2025.2548987

Xianyun Song, Yi Yao, Yunqian Chi, Zihan Zhang, Yunhe Wang, Zhengwei Bei, Xingying Zhang, Wei Hao

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引用次数: 0

Abstract

Introduction: This study evaluated the effect of preterm premature rupture of membranes (PPROM) on neonatal outcomes in low-birth-weight infants.

Methods: We included premature infants born in our hospital and divided them into PPROM group and non-PPROM group. Maternal and neonatal data were collected, and follow-up assessments were performed at 3, 6, and 9 months of corrected age.

Results: The PPROM group had significantly lower birth weights, gestational ages, higher maternal infection rates, longer hospital stays, and higher complication rate (p < 0.001). PPROM, 5-minute Apgar score <7, and birth weight <1500 g was significant risk factors for complications (p < 0.001). Birth weight <1500 g, sepsis, premature encephalopathy, asphyxia and necrotizing enterocolitis (p < 0.01) were significant predictors of death. Infants with PPROM duration >7 days had the highest mortality rate and lower mental development index scores at 3 months (p < 0.05).

Conclusion: PPROM significantly impacts neonatal outcomes in low-birth-weight infants, leading to higher complication rates and longer hospital stays, which is associated with high risk of neonatal complication.

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低出生体重儿早产胎膜早破对新生儿结局的影响：一项回顾性研究。

前言：本研究评估了低出生体重儿早产胎膜早破（PPROM）对新生儿结局的影响。方法：选取我院出生的早产儿，将其分为PPROM组和非PPROM组。收集产妇和新生儿数据，并在矫正月龄3、6和9个月时进行随访评估。结果：PPROM组新生儿出生体重、胎龄明显降低，孕产妇感染率较高，住院时间较长，并发症发生率较高（p p p 7天死亡率最高，3个月智力发育指数评分较低）。结论：PPROM对低出生体重儿新生儿结局有显著影响，并发症发生率较高，住院时间较长，新生儿并发症发生风险较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maternal-Fetal & Neonatal Medicine 医学-妇产科学

CiteScore

4.40

自引率

0.00%

发文量

217

审稿时长

2-3 weeks

期刊介绍： The official journal of The European Association of Perinatal Medicine, The Federation of Asia and Oceania Perinatal Societies and The International Society of Perinatal Obstetricians. The journal publishes a wide range of peer-reviewed research on the obstetric, medical, genetic, mental health and surgical complications of pregnancy and their effects on the mother, fetus and neonate. Research on audit, evaluation and clinical care in maternal-fetal and perinatal medicine is also featured.