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Randomised controlled trial
Early planned birth may reduce neonatal sepsis compared to expectant management following preterm premature rupture of the membranes close to term
  1. Jonathan Morris
  1. University of Sydney, Sydney, New South Wales, Australia
  1. Correspondence to: Jonathan Morris
    Professor of Obstetrics and Gynaecology, University of Sydney, Level 7, Kolling Building, Royal North Shore Hospital, Sydney, NSW 2065 Australia; jonathan.morris{at}sydney.edu.au

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Prelabour rupture of the membranes (rupture of the membranes prior to the onset of labour) occurs in 20% of all births.1 When this occurs at term there is good evidence that early delivery is associated with a lower incidence of maternal infection and increased maternal satisfaction compared with expectant management.2 Preterm prelabour rupture of membranes (PPROM) complicates up to 2% of all pregnancies and is the cause of 40% of all preterm births.3 Unlike at term, the optimal management of women with PPROM …

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