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Y4R2 - Obstetrics I 🤰 > L7: PROM > Flashcards

L7: PROM Flashcards

1
Q

Def of PROM

A
  • ROM before onset of labor after 37 weeks gestation.
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2
Q

Def of PPROM

A
  • ROM before 37 weeks gestation = between 20-37 w.
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3
Q

Def of Early ROM

A

ROM during 1st stage of labor

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4
Q

Incidence of PROM

A

2% of all pregnancies

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5
Q

Etiology & RF for PROM

A
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6
Q

Etiology & RF for PROM

  • Idiopathic
A

…

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7
Q

Etiology & RF for PROM

  • Genital Infection
A

bacterial vaginosis

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8
Q

Etiology & RF for PROM

  • Trauma
A

Direct or coital trauma

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9
Q

Etiology & RF for PROM

  • Congenital Weakness in Membrane
A

Affects its tensile strength.

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10
Q

Etiology & RF for PROM

  • Increased Intrauterine Presssure
A
  • polyhydramnios, placental abruption & multifetal pregnancy.
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11
Q

Etiology & RF for PROM

  • Malpresentation & Malposition
A

…

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12
Q

Etiology & RF for PROM

  • Other RF
A
  • Previous PROM
  • Previous preterm labor
  • Uterine anomalies
  • Smoking
  • Malnutrition
  • Low SES
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13
Q

Complications of PROM

A
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14
Q

Chorioamnionitis in PROM

  • Significance
A

Most serious complication

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15
Q

Chorioamnionitis in PROM

  • Symptoms
A

Fever, Rigors, Abdominal pain & Foul odor of fluid.

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16
Q

Chorioamnionitis in PROM

  • Signs
A

1) Maternal: Fever, tachycardia, uterine tenderness & offensive vaginal discharge,

2) Fetal: Fetal tachycardia (earliest sign).

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17
Q

Chorioamnionitis in PROM

  • INVx
A

1) CBC: Leukocytosis.

2) C-reactive protein (CRP): 1

3) AF analysis: Leukocytosis & organisms,

4) AF culture & sensitivity testing.

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18
Q

Coed Prolapse in PROM

A

Specially in polyhydramnios or malpresentation.

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19
Q

Premature Placental Separation in PROM

A

Specially in polyhydramnios.

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20
Q

Fetal Compression Syndrome in PROM

A
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21
Q

Fetal Compression Syndrome in PROM

  • Etiology
A

Drainage of liquor.

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22
Q

Fetal Compression Syndrome in PROM

  • Characters
A

Pulmonary hypoplasia, abnormal facies , contracture of extremities

23
Q

Dx of PROM

A
24
Q

Dx of PROM

  • Hx
A
25
Q

Dx of PROM

  • Ex
A
26
Q

Dx of PROM

  • General Ex
A
27
Q

Dx of PROM

  • Abdominal Ex
A
28
Q

Dx of PROM

  • Local Ex
A
29
Q

Dx of PROM

  • INVx
A
30
Q

INVx in PROM

A
31
Q

INVx in PROM

  • Confirmation of nature of fluid
A
32
Q

INVx in PROM

  • Nitrazine Strip test
A
33
Q

INVx in PROM

  • Fernig Test
A
34
Q

INVx in PROM

  • Nile Blue Sulphate
A
35
Q

INVx in PROM

  • Evaluation of Fetal Wellbeing
A
36
Q

INVx in PROM

  • detection of Infection
A
37
Q

Prevention of PROM

A
38
Q

TTT of PROM

A
39
Q

TTT of PROM

  • Plan of TTT
A
40
Q

Plan of TTT of PROM

  • If there is infection
A
41
Q

Plan of TTT of PROM

  • If there is no infection
A
42
Q

TTT of PROM if NO Infection

  • Mature Fetus + Uterine Activity
A
43
Q

TTT of PROM if NO Infection

  • Mature Fetus + No Uterine Activity
A
44
Q

TTT of PROM if NO Infection

  • Immature Fetus + Uterine activity
A
45
Q

TTT of PROM if NO Infection

  • Immature Fetus + No Uterine Activity
A
46
Q

Lines of TTT in PROM

A
47
Q

Expectant TTT of PROM

  • Hospitalization
A
48
Q

Expectant TTT of PROM

  • Rest
A
49
Q

Expectant TTT of PROM

  • Avoid Vaginal Examination
A
50
Q

Expectant TTT of PROM

  • Observation
A
51
Q

Expectant TTT of PROM

  • Drugs
A
52
Q

TOP in PROM

  • Indications
A
53
Q

TOP in PROM

  • Methods
A

Y4R2 - Obstetrics I 🤰 (55 decks)

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