Complications of the Waters

Question 1

Define premature ROM (PROM)

Answer 1

Premature=prelabor

PROM occurs prior to onset of labor

Question 2

Define preterm premature ROM

Answer 2

PROM that occurs <37 wks gestation

Question 3

ACNM recommends supporting expectant management in the PROM patient if they are…

Answer 3

GBS negative & no other infections (HIV)
Afebrile 
Term + singleton
Reassuring FHR
vertex
clear fluid
No other indications to induce

Question 4

Home instructions for PROM

Answer 4

Check temp q2-4 hours
COME IN IF:
-temp>38C
-foul odor
-meconium
-decreased FM
-in active labor :)

Question 5

Expectant management for the PPROM can occur if…

Answer 5

23-33.6wks gestation
No s/sx of infection
No fetal compromise (or maternal!)
No active labor