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LETTER TO THE EDITOR—BRIEF COMMUNICATION| Volume 171, ISSUE 2, e4, December 2013

Comment on: Management of pPROM before 34 weeks’ gestation

  • G. Kayem
    Correspondence
    Corresponding author at: Centre Hospitalier Intercommunal de Créteil, Department of Obstetrics and Gynaecology, 40 avenue de Verdun, 94010 Créteil cedex, France
    Affiliations
    Department of Obstetrics and Gynecology, CHI de Créteil, University Paris XII, Créteil, France
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  • B. Haddad
    Affiliations
    Department of Obstetrics and Gynecology, CHI de Créteil, University Paris XII, Créteil, France
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      We read with interest the article of Pasquier et al. “Neonatal outcomes after elective delivery management of preterm premature rupture of the membranes before 34 weeks’ gestation (DOMINOS study)” in which they presented the result of a multicenter prospective study of women with pPROM between 241/7 and 336/7 weeks’ gestation (weeks). This study shows after logistic regression that elective delivery (OR 0.41, 95%CI: 0.19–0.87, P = 0.02) is associated with decreased neonatal morbidity. This conclusion suggests that elective delivery may be a better choice than expectant management before 34 weeks. We have however, some concerns about the methodology of the study and the factors introduced in the logistic regression that led to this conclusion.
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      References

        • Baud O.
        • Zupan V.
        • Lacaze-Masmonteil T.
        • et al.
        The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants.
        Bjog. 2000; 107: 877-884
        • Palmer K.G.
        • Kronsberg S.S.
        • Barton B.A.
        • Hobbs C.A.
        • Hall R.W.
        • Anand K.J.
        Effect of inborn versus outborn delivery on clinical outcomes in ventilated preterm neonates: secondary results from the NEOPAIN trial.
        J Perinatol. 2005; 25: 270-275
        • Locatelli A.
        • Ghidini A.
        • Paterlini G.
        • et al.
        Gestational age at preterm premature rupture of membranes: a risk factor for neonatal white matter damage.
        Am J Obstet Gynecol. 2005; 193: 947-951
        • Marret S.
        • Ancel P.Y.
        • Marpeau L.
        • et al.
        Neonatal and 5-year outcomes after birth at 30–34 weeks of gestation.
        Obstet Gynecol. 2007; 110: 72-80