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Cited by 208Preterm Birth and ChorioamnionitisMaternal and fetal healthcarePregnancy and preeclampsia studies

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Preterm Premature Rupture of Membranes, Intrauterine Infection, and Oligohydramnios: Risk Factors for Placental Abruption

Ananth, Cande V., Oyelese, Yinka, Srinivas, Neela, Yeo, Lami, Vintzileos, Anthony M.·2004·Obstetrics & Gynecology
DOI 10.1097/01.aog.0000128172.71408.a0
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Abstract

OBJECTIVE: To examine whether preterm premature rupture of membranes (PROM), intrauterine infection, and oligohydramnios are risk factors for placental abruption. METHODS: Data for this retrospective cohort study were derived from the 1988 National Maternal and Infant Health Survey (N = 11,777). Association between abruption and these clinical risk factors was expressed as relative risk (RR) and 95% confidence interval (CI), with multivariate adjustment for potential confounders. RESULTS: The overall incidence of abruption was 0.87%. The risk of abruption was 3.58-fold higher (95% CI 1.74-7.39) among women with preterm PROM (2.29%) compared with women with intact membranes (0.86%). The rates of abruption among women with and without intrauterine infection were 4.81% and 0.83%, respectively (RR 9.71, 95% CI 3.23-29.17). However, oligohydramnios was not associated with abruption (1.46% compared with 0.87%; RR 2.09, 95% CI 0.92-5.31). Compared with women with intact membranes, the RR for abruption among preterm PROM and whose membranes were ruptured for 24-47 hours and 48 hours or more before delivery, respectively, were 2.37 (95% CI 0.99-9.09), and 9.87 (95% CI 3.57-27.82). When preterm PROM was accompanied by intrauterine infections, the RR for abruption was 9.03 (95% CI 2.80-29.15) compared with women with intact membranes and no infections. Similarly, preterm PROM accompanied by oligohydramnios conferred over a 7.17-fold risk (95% CI 1.35-38.10) for abruption compared with women with neither of these 2 conditions. CONCLUSION: Women presenting with preterm PROM are at increased risk of developing abruption, with the risk being higher either in the presence of intrauterine infections or oligohydramnios. Physicians managing patients with preterm PROM should be aware that these patients are at increased risk of developing abruption after 24 hours following preterm PROM.

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Crossref · 10.1097/01.aog.0000128172.71408.a0

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Research works printed but not linked: 5

  1. Vintzileos, 1985, Obstet Gynecol, 66, 162
  2. Gonen, 1989, Obstet Gynecol, 74, 347
  3. Saftlas, 1991, Obstet Gynecol, 78, 1081
  4. Nelson, 1986, J Repro Med, 31, 249
  5. Darby, 1989, Obstet Gynecol, 74, 88

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Metadata

Authors
Ananth, C. V., Oyelese, Y., Srinivas, N., Yeo, L., & Vintzileos, A. M.
Affiliations
Robert Wood Johnson University Hospital (US)
Corresponding author
Ananth, Cande V.
ORCID
Venue
Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-07
Volume
104
Issue
1
Pages
71-77
ISSN
0029-7844 (ISSN-L)
DOI
10.1097/01.aog.0000128172.71408.a0
OpenAlex
W1975092616
Cited by
208
References
24
Citations by year
2026: 5 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 12 · 2021: 4 · 2020: 13 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 12 · 2015: 9 · 2014: 9 · 2013: 14 · 2012: 9
FWCI
7.39
Type
journal article
Language
en
Open access
closed
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD038902)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Preterm Birth and Chorioamnionitis
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Keywords
preterm premature rupture of membranes, placental abruption, intrauterine infection, oligohydramnios, risk factors, preterm labor, National Maternal and Infant Health Survey
MeSH terms
Abruptio Placentae, Adult, Female, Premature Rupture of Fetal Membranes, Humans, Pregnancy, Pregnancy Complications, Infectious, Risk Factors, Confidence Intervals, Oligohydramnios

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