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Clinical practice guideline for the prevention, early detection and treatment of pregnancy, delivery and post-partum complications: Section 3. Infections in pregnancy: Premature rupture of membranes (PROM)

Abstract:

Objective: To make recommendations for care in pregnancies with Premature Rupture of Membranes, as an integral part of the Clinical Practice Guidelines (CPG) for the prevention, early detection and treatment of pregnancy-associated complications in Colombia. Materials and methods: The developer group worked on these CPG during 2011-2012 following the Methodological Guidelines for the development of Comprehensive Care Guidelines under the Colombian General Social Security System. The work was based on the scientific evidence available, and was conducted with the active participation of patient groups, scientific societies and stakeholders. In particular, the evidence for this section was adapted from the CPG on "Preterm prelabour rupture of membranes" (Royal College of Obstetricians and Gynaecologists-2006) and updated using systematic procedures both for the search and assessment of the evidence as well as for developing the recommendations. The level of evidence and the power of the recommendations were expressed using the Scottish Intercollegiate Guidelines Network system (SIGN). Results: Recommendations for care of pregnancies with Premature Rupture of Membranes are presented. They include behavioural changes for the healthcare institutions and staff in order to increase the odds of achieving a successful outcome for the mother and the neonate in pregnancies with this complication. Conclusions: A summarized version of the recommendations and the evidence for this section is presented. These recommendations are expected to be adopted by the healthcare professionals in charge pregnancy care, in order to reduce pregnancy- related morbidity and mortality in this country.