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Premature rupture of the membranes
Abstract
A total of 554 cases in which membrane rupture occurred prematurely at Queen Victoria Maternity Hospital, Johannesburg during a 3 1/2-year period is analysed in 4 groups according to birthweight, to elucidate which factor-prematurity or intra-uterine infection-carries the greater risk to the foetus. The conclusion is that pregnancy should be terminated if intra-uterine infection occurs if the foetus is judged to be over 34 weeks' gestation and that conservative treatment without antibiotics be employed when the rupture occurs between 28 and 34 weeks.
