13 - Obs - Labour - Prelabour Term ROM

Question 1

In ?% women after 37wks, membranes rupture before onset of ?. Reason is ? in most.

Answer 1

10
labour
unknown

Question 2

Diagnosis
Typically a gush of ? ?followed by uncontrollable intermittent ?. Occasionally initially confused w ? ?. Finding of reduced ? on ???may help. ? water leaking occurs in some, w membranes still present in front of ? ?

Answer 2

clear fluid
trickle
urinary incontinence
liquor
USS
hind
fetal head

Question 3

Risks
Cord ? is rare and usually compx of ? lie or ? presx. ?
but definite risk of neonatal ?, incr by ??, presence of ???and incr duration of ?.

Answer 3

prolapse
transverse
breech
small
infection
VE, GBS, rupture

Question 4

MGMT - Confirmation by identification of ?. ? and ?
checked. Digital VE ? but can be done ? if risk of cord ?(abnormal lie/fetal ?), vaginal ? used to screen for ?. Fetal ?
or CTG done. Wait for ? labour or ?.

Answer 4

liquor
lie m+ presx
avoided
sterile
prolapse
distress
swabs
infection
ausc
spont
induction

Question 5

MGMT -
Induction: Does not incr risk of ? ?, ass w ? chance of maternal infection. Also ass w lower risk of baby -> ????. Safer, esp if mother is ???carrier.

Waiting: for spont labour is ?
practice. ?% women do not labour spont in 24hrs. Maternal ??, ?, and ???measured every ?h. Presence of ? or evidence of ? warrants immed induction. After ?h prescribe proph ? vs ??? and induce.

Answer 5

C/s
lower
NICU
GBS

common
20
HR, Temp, FHR
4h
meconium
infection
18h
ABx
GBS