7.2 - PPROM - exam- preterm pre-labour rupture of membran Flashcards
1
Q
What are the causes of preterm pre labour rupture of membranes
A
- UTI
- MSU
- Multiple babies
- trauma
- vaginal irritability
- GBS
- Smoking
2
Q
What is the assessment and management of PPROM
A
- Speculum
- High risk
- ammisure
- vaginal pooling
- opening of the OS
- any membranes
- transfer to
- past hx
- top to toe assessment
- abdo palp - mal presentation
- pad insitu
- if rupture membrane IVABS
- increased risk of infection - chorioamnionitis
- CTG - after 28 weeks
- vitals
- fetal movement
- bloods - FBE, CRP, MSU, U&E vaginal swab
-AFI - tocolytics
- magn sulfate
- steriods for both less than 35 weeks - betamethasone (24 hours apart)
Create New Card (or TAB through to next card) - paeds, scn staff, obgn
2
Q
What is the management of PPROM
A
IVABS
AFI
Monitor
