Ryan 1999.
Methods | RCT. | |
Participants | Setting: hospitals in Ontario, Canada. Inclusion criteria: women with PPROM < 37 weeks, singleton viable pregnancy, cephalic presentation, were admitted and observed for 48‐72 hrs. They were included if not in labour, no cervical dilation, no evidence of clinical chorioamnionitis, no evidence of meconium, if less than 34 weeks' gestation then mother must live within 15 min of emergency care facilities, patient able to self‐monitor. (Only 11% of women attending study hospitals with PPROM were eligible for inclusion.) |
|
Interventions | 61 women randomised. Intervention group: discharge home after monitoring period. Comparison group: inpatient care. |
|
Outcomes | Latency period (PPROM to delivery), gestational age at delivery, induction of labour, CS, chorioamnionitis, time in hospital and costs. | |
Notes | Study was reported in brief abstracts; there was little information on methods or on management. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described. |
Allocation concealment (selection bias) | Unclear risk | Not described. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not described. |
Selective reporting (reporting bias) | Unclear risk | Study reported in a series of brief abstracts. |
CS: caesarean section hrs: hours min: minutes NICU: neonatal intensive care unit NST: non‐stress test PPROM: preterm prelabour rupture of membranes RCT: randomised controlled trial