加拿大三级中心早产胎膜早破的诊断和临床处理调查。

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Journal of obstetrics and gynaecology Canada Pub Date : 2025-03-27 DOI:10.1016/j.jogc.2025.102822

Romy Barbera , Marc Beltempo MD, MSc , Rohan D’Souza MD, PhD , Sarah D. McDonald MD, MSc, BA , Stefania Ronzoni MD, PhD , Joseph Ting MBBS, MPH , Isabelle Boucoiran MD, MSc

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引用次数: 0

摘要

本研究探讨了加拿大34周前早产胎膜早破（PPROM）的诊断和管理实践。在2023年8月至11月期间，来自加拿大早产网络（28个站点）的产科医生完成了一项在线调查。有效率为79% （n = 22）。首选的诊断试验包括蕨类植物试验（91%）和硝嗪纸试验（77%）。64%的网站提供家庭管理。最常用的抗生素治疗（55%）联合大环内酯和氨苄西林，然后是阿莫西林。GBS状态很少影响分娩时间（86%）。4个站点没有管理协议。加拿大各地的PPROM管理各不相同，这凸显了标准化的必要性。

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Canadian Survey on the Diagnosis and Clinical Management of Preterm Premature Rupture of Membranes in Tertiary Centres

This study examines diagnostic and management practices for preterm premature rupture of membranes before 34 weeks in Canada. Between August and November 2023, obstetricians from the Canadian Preterm Birth Network (28 sites) completed an online survey. The response rate was 79% (n = 22). Preferred diagnostic tests include the fern test (91%) and nitrazine paper test (77%). Home management is offered in 64% of sites. The most used antibiotherapy (55%) combines macrolide and ampicillin followed by amoxicillin. Group B Streptococcus status rarely influences delivery timing (86%). Four sites have no management protocol. Preterm premature rupture of membranes management varies across Canada, highlighting the need for standardization.

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来源期刊

Journal of obstetrics and gynaecology Canada OBSTETRICS & GYNECOLOGY-

CiteScore

3.30

自引率

5.60%

发文量

302

审稿时长

32 days

期刊介绍： Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.