Evidence · Research paper
Conservative management of preterm premature rupture of membranes < 30 weeks of gestational age: Effectiveness of clinical guidelines implementation strategies.
- Bronchopulmonary dysplasia
- Early-onset sepsis
- Families and professional practice
- Infection
- Medical
- Nursing
- Quality improvement
- Respiratory
Summary
This single-centre before-and-after study compares obstetric and neonatal outcomes in single and twin pregnancies with preterm premature rupture of membranes before 30 weeks, before and after introducing a protocol based on international guidelines. It describes local barriers and implementation strategies, including educational and interdisciplinary meetings, performance audit and standardised procedures. The protocol favoured standardised conservative management at home. The authors report longer latency, later gestation at delivery, higher birth weight and shorter neonatal hospitalisation compared with hospital management.
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