Amnioinfusion vs. standard management for the second trimester PPROM: a systematic review and meta-analysis of observational studies and RCTs

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dc.authoridGuler Cekic, Sebile/0000-0002-1632-1170
dc.authoridMELEKOGLU, RAUF/0000-0001-7113-6691
dc.authoridAyhan, Isil/0000-0002-8160-7853
dc.authoridUNAL, Ceren/0000-0003-3485-5843
dc.authoridGursoy, Tugba/0000-0002-6084-4067
dc.authoridCelik, Ebru/0000-0002-0774-4294
dc.authoridYildiz, Abdullah Burak/0000-0001-8921-2736
dc.authorwosidGuler Cekic, Sebile/KGM-4777-2024
dc.authorwosidMELEKOGLU, RAUF/AAF-1614-2019
dc.authorwosidAyhan, Isil/JAD-2210-2023
dc.authorwosidUNAL, Ceren/KHZ-5079-2024
dc.authorwosidGursoy, Tugba/AGO-5295-2022
dc.authorwosidCelik, Ebru/B-3860-2013
dc.contributor.authorCelik, Ebru
dc.contributor.authorYildiz, Abdullah Burak
dc.contributor.authorCekic, Sebile Guler
dc.contributor.authorUnal, Ceren
dc.contributor.authorAyhan, Isil
dc.contributor.authorMelekoglu, Rauf
dc.contributor.authorGursoy, Tugba
dc.date.accessioned2024-08-04T20:54:29Z
dc.date.available2024-08-04T20:54:29Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective This meta-analysis aims to review the effect of serial transabdominal amnioinfusion (TAI) on short-term and long-term perinatal outcomes in mid-trimester preterm premature rupture of membranes (PPROM). Methods Literature searches of PubMed, Web of Sciences, Scopus, and Cochrane Library were performed from their inception to April 2022. Studies comparing conventional treatment with serial TAI in women with proven PPROM at less than 26 + 0 weeks of gestation with oligohydramnios were included. Studies that included oligohydramnios due to other reasons such as fetal growth retardation or renal anomalies were excluded. Risk of bias in observational studies was assessed using the tool of the Cochrane Review group identified as risk of bias in non-randomized studies - of interventions. The risk of bias assessments for RCTs were performed according to the Cochrane risk-of-bias tool for randomized trials. An I (2) score was used to assess the heterogeneity of included studies. The analyses were performed by using random-effect model, and the results were expressed as relative risk (RR) or mean difference with 95% confidence intervals (CIs). Results Overall, eight relevant studies including five observational studies (n = 252; 130 women allocated to the intervention) and three RCTs (n = 183; 93 women allocated to the intervention) were eligible. The pooled latency period was 21.9 days (95% CI, 13.1-30.8) and 5.8 days (95% CI, -11.6-23.2) longer in the TAI group in the observational studies and RCTs, respectively. The perinatal mortality rate reduced in the intervention group when tested in observational studies (RR 0.68; 95% CI, 0.51-0.92), but not in RCTs (RR 0.79; 95% CI, 0.56-1.13). The rate of long-term healthy survival was higher in the children whose mothers were treated with the TAI (35.7%) than those were treated with the standard management (28.6%) (RR 1.30, 95% CI 0.47-3.60, best case scenario). Conclusions The efficacy of serial TA on early PPROM associated morbidity and mortality is not attested. Additional randomized control trials with adequate power are needed.en_US
dc.description.sponsorshipErtac Nebiogluen_US
dc.description.sponsorshipWe appreciated the work of Ertac Nebioglu who an expertise librarian is. The review was registered with PROSPERO (CRD42021262620).en_US
dc.identifier.doi10.1080/14767058.2023.2230511
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issue2en_US
dc.identifier.pmid37408113en_US
dc.identifier.scopus2-s2.0-85163955093en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1080/14767058.2023.2230511
dc.identifier.urihttps://hdl.handle.net/11616/101446
dc.identifier.volume36en_US
dc.identifier.wosWOS:001022646900001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPPROMen_US
dc.subjectamnioinfusionen_US
dc.subjectoligohydramniosen_US
dc.subjectperinatal mortalityen_US
dc.subjecthealthy survivalen_US
dc.titleAmnioinfusion vs. standard management for the second trimester PPROM: a systematic review and meta-analysis of observational studies and RCTsen_US
dc.typeReview Articleen_US

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