Antibiotics in the Management of PROM and Preterm Labor

作者：Mercer Brian^*

来源：Obstetrics and Gynecology Clinics of North America, 2012, 39(1): 65-+.

DOI：10.1016/j.ogc.2011.12.007

• Antibiotics
• Preterm labor
• Preterm PROM
• Premature rupture of the membranes

A significant fraction of preterm birth results from subclinical intrauterine infection. Antimicrobial treatment during conservative management of preterm labor and premature rupture of the membranes (PROM) remote from term could treat subclinical decidual colonization. There are data supporting adjunctive antibiotic treatment during conservative management of PROM remote from term, including broad-spectrum agents. There is no consistent evidence that antibiotic treatment in the setting of preterm labor with intact membranes prolongs pregnancy or improves newborn outcomes; there is some evidence of risk. Antibiotic treatment for pregnancy prolongation should not be offered in the setting of preterm labor with intact membranes.

• 出版日期2012-3