Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/36213
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dc.contributor.authorEngemise, Samuel-
dc.contributor.authorThompson, F.-
dc.contributor.authorDavies, W.-
dc.date.accessioned2016-01-08T10:08:16Z-
dc.date.available2016-01-08T10:08:16Z-
dc.date.issued2014-01-09-
dc.identifier.citationJournal of Clinical Medicine 2014, 3(1), 25-38en
dc.identifier.issn2077-0383-
dc.identifier.urihttp://www.mdpi.com/2077-0383/3/1/25en
dc.identifier.urihttp://hdl.handle.net/2381/36213-
dc.description.abstractProlonged oligohydramnios following extreme preterm prelabour rupture of membranes (EPPROM) is traditionally associated with a high morbidity and mortality to both the mother and the baby. The clinical maternal evaluation and fetal ultrasound assessment may provide important prognostic information for the clinicians and should be taken into account when counselling the patients so as to provide them with enough information to make decision of continuing or interrupting the pregnancy. Current financial constraints on the National Healthcare Service (NHS) resources make it imperative for clinical decision-makers and budgetary planners to make the right decision of continuing or terminating a second trimester pre-viability amniorrhexis for desperate parents. To assess the economic consequences following EPPROM, the risk of infection to both baby and mother, psychological impact on the parents and associated complications and further disability after delivery on this fragile group of patients to the NHS resources. We review the clinical course, outcome, and the challenges to parents and health care professionals on three pregnancies complicated by EPPROM, occurring before 24 weeks’ gestation with a membrane rupture to delivery interval (latent period) of 14 days or more. The anticipated birth of an extremely premature infant poses many challenges for parents and health care professionals. As parents are faced with difficult decisions that can have a long-term impact on the infant, family and country’s resources, it is critical to provide the type of information and support that is needed by them. Taking all these into consideration with the period of ventilation and respiratory assistance in Neonatal Intensive Care Unit (NICU) is essential to provide maximum chances for survival, minimizing the risk for long term sequelae of the neonate and provides the parents enough time to decide on making the right decision with the associated guidance of the healthcare provider.en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsThis is an open access article distributed under the Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/3.0/ which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectamniorrhexisen
dc.subjectEPPROMen
dc.subjectPPROMen
dc.subjectNational Healthcare Services (NHS) resourcesen
dc.titleEconomical Analysis of Different Clinical Approaches in Pre-Viability Amniorrhexis—A Case Seriesen
dc.typeJournal Articleen
dc.identifier.doi10.3390/jcm3010025-
dc.identifier.eissn2077-0383-
dc.description.statusPeer-revieweden
dc.description.versionPublisher Versionen
dc.dateaccepted2013-12-20-
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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