![]() "Opportunities to reduce overuse of antibiotics for perinatal group B streptococcal disease prevention and management of preterm premature rupture of membranes." vol. "Opportunities to reduce overuse of antibiotics for perinatal group B streptococcal disease prevention and management of preterm premature rupture of membranes." 13, no. Opportunities to reduce overuse of antibiotics for perinatal group B streptococcal disease prevention and management of preterm premature rupture of membranes. Schulkin, Jay Chamany, Shadi Riley, Laura E. The recommended approaches would be either population-based database studies using additional criteria to exclude false positive cases, or tailored data collection using existing specific population-based systems.ĬITE Title : Opportunities to reduce overuse of antibiotics for perinatal group B streptococcal disease prevention and management of preterm premature rupture of membranes. Recommendation 1: Comparisons of AFE incidence estimates should be restricted to studies using similar methodology. Older maternal age and induction of labour were consistently associated with AFE. The lowest estimated incidence rates were obtained through validated case identification (range 1.9-2.5 cases per 100 000 maternities) rates obtained from retrospective analysis of population discharge databases were significantly higher (range 5.5-6.1 per 100 000 admissions with delivery diagnosis). There was a clear distinction between rates estimated using different methodologies. The reported incidence of AFE ranged from 1.9 cases per 100 000 maternities (UK) to 6.1 per 100 000 maternities (Australia). Moreover, the condition is difficult to precisely define and is often a diagnosis of. 1,2 Although the condition is rare, the case fatality rate is high, and AFE is a common cause of maternal death in developed countries. Where information was available, the risk factors and outcomes of AFE were examined. Amniotic fluid embolism (AFE) occurs in about 1 in 20,000 to 1 in 40,000 deliveries. We reviewed available data sources on the incidence of AFE in Australia, Canada, the Netherlands, the United Kingdom and the USA. The aim of this study was to examine population-based regional or national data from five high-resource countries in order to investigate incidence, risk factors and outcomes of AFE and to investigate whether any variation identified could be ascribed to methodological differences between the studies. A recent systematic review highlighted apparent differences in the incidence, with studies estimating the incidence of AFE to be more than three times higher in North America than Europe. ![]() Amniotic fluid embolism (AFE) is a rare but severe complication of pregnancy.
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