A Comparison of Severe Maternal Morbidity After Pre- and Periviable Premature Prelabor Rupture of Membranes in Multiple Gestations: Expectant Management versus Pregnancy Termination.

Among a combined group of singletons and multiple gestations, Sklar et al demonstrated that individuals opting for EM experienced a significantly increased risk of maternal morbidity when compared to TOP, with composite maternal morbidity rates of 60.2 and 33.0% for TOP and EM, respectively. 1 Using the same composite maternal morbidity index, we identified similar SMM rates of 70.3 and 55.6% for TOP and EM, respectively, though our findings did not reach statistical significance as our sample size was more limited due to inclusion of multiple gestations alone.

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