C L Roberts1,2, P Wagland1,3, S Torvaldsen1,2, J R Bowen1,4, J P Bentley5, J M Morris1,6. 1. Clinical and Population Perinatal Health, Kolling Institute, Northern Sydney Local Heath District, University of Sydney, Sydney, NSW, Australia. 2. Sydney Medical School Northern, University of Sydney, Sydney, NSW, Australia. 3. Biostatistics Training Program, New South Wales Ministry of Health, North Sydney, NSW, Australia. 4. Department of Neonatology, Royal North Shore Hospital, St Leonards, NSW, Australia. 5. Menzies Centre for Health Policy, Sydney School of Public Health, The University of Sydney, NSW, Australia. 6. Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Sydney, NSW, Australia.
Abstract
OBJECTIVE: The objective of this study is to determine child health, development and educational outcomes for infants born following preterm prelabor rupture of the membrane (PPROM). STUDY DESIGN: Population-based record linkage cohort study using data from NSW, Australia, 2001 to 2014. RESULTS: Of 121 822 births at 20 to 37 weeks, 18 799 (15%) followed PPROM, 56 406 (46%) followed spontaneous labor and 46 617 (38%) were planned. Compared with infants of a similar gestational age born following spontaneous labor or planned delivery, exposure to PPROM did not increase the risk of childhood mortality, childhood hospitalization, developmentally vulnerable at school entry, low reading or numeracy scores. Median latency ranged from 12 days (interquartile range 3 to 37 days) at 25 weeks to 1 day (0 to 2 days) at 36 weeks. Longer latency and more advanced gestational age at birth were associated with better outcomes. CONCLUSION: Infants born following PPROM are at no greater risk of adverse child health, development and education outcomes than those of similar gestational age born without PPROM.
OBJECTIVE: The objective of this study is to determine child health, development and educational outcomes for infants born following preterm prelabor rupture of the membrane (PPROM). STUDY DESIGN: Population-based record linkage cohort study using data from NSW, Australia, 2001 to 2014. RESULTS: Of 121 822 births at 20 to 37 weeks, 18 799 (15%) followed PPROM, 56 406 (46%) followed spontaneous labor and 46 617 (38%) were planned. Compared with infants of a similar gestational age born following spontaneous labor or planned delivery, exposure to PPROM did not increase the risk of childhood mortality, childhood hospitalization, developmentally vulnerable at school entry, low reading or numeracy scores. Median latency ranged from 12 days (interquartile range 3 to 37 days) at 25 weeks to 1 day (0 to 2 days) at 36 weeks. Longer latency and more advanced gestational age at birth were associated with better outcomes. CONCLUSION:Infants born following PPROM are at no greater risk of adverse child health, development and education outcomes than those of similar gestational age born without PPROM.
Authors: Jason P Bentley; Christine L Roberts; Jenny R Bowen; Andrew J Martin; Jonathan M Morris; Natasha Nassar Journal: Pediatrics Date: 2016-11-07 Impact factor: 7.124
Authors: Neil Marlow; Katie Pike; Eva Bower; Peter Brocklehurst; David Jones; Sara Kenyon; Jennifer J Kurinczuk; David Taylor; Alison Salt Journal: Dev Med Child Neurol Date: 2012-03-28 Impact factor: 5.449