This study is to compare the maternal and neonatal outcomes in the patients with PPROM who are managed at home versus those managed at hospital, half the patients will be managed at home and the other half will be managed inpatient.
Now the current practice is to manage patients with PPROM at hospital, however it is not known yet whether this practice is better than outpatient management as regard maternal and neonatal outcome. There is some recent evidence that home management of PPROM is safe for both mother and neonate, home management is also more convenient with less expenses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
560
patients if stable will be discharged to continue treatment at home
patients will continue there treatment in hospital till delivery
Ain Shams Maternity hospital
Cairo, Abbasya, Egypt
RECRUITINGrate occurence of Neonatal sepsis
proven neonatal infection with positive blood culture within 48 hours after birth, or culture proven neonatal pneumonia or meningitis
Time frame: 48 hours after delivery
rate of occurence of Maternal morbidity
including chorioamnionitis , endometritis , septicaemia, admission to intensive care unit, organ failure, major postpartum hemorrhage
Time frame: 48 hours after delivery
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