Premature Rupture of Membranes

Card Set Information

Author:
JMC
ID:
266298
Filename:
Premature Rupture of Membranes
Updated:
2014-03-13 12:15:42
Tags:
PROM
Folders:

Description:
PROM/PPROM NM 622
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  1. Define PROM/P-PROM
    Rupture of amniotic sac prior to the onset of labor at term/preterm
  2. Steps for Diagnosing ROM
    • SSE
    • Visualize cervix for fluid flow
    • Pooling of fluid in vaginal vault
    • + fern test (from NaCl, protein in AF)
    • Nitrazine pH >6.5 suggests ROM
  3. Latency period
    • Time between ROM and onset of labor
    • Has little effect on development of infection if VEs are limited
  4. Maternal risks for PROM
    Chornioamnionitis
  5. Fetal risks for PROM
    Neonatal sepsis
  6. Risks & benefits of EM with PROM
    • + can stay at home, eat/drink as desired, freedom of movement
    • - infection risk increases (esp. if VE's are not limited), vaginal rest
  7. Risks & benefits of immediate induction with PROM
    • + slight decrease in infection risk
    • - uterine hyperstimulation, fetal intolerance of induction
  8. Candidate requirements for EM with PROM
    • Term, no complications
    • Singleton, vertex
    • Clear AF
    • - GBS, Hep B/C, HIV
    • Afebrile
    • Healthy FHT

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