Labor And Delivery Pathway

Question 1

What is considered pre term baby age?

Answer 1

24-37

Question 2

What is considered term baby age?

Answer 2

37-42

Question 3

How do we define normal rupture of membranes?

Answer 3

Baby is term and contractions are present

Question 4

How do we define premature rupture of membranes?

Answer 4

Baby is term but no contractions

Question 5

How do we define preterm premature rupture of membranes?

Answer 5

Rupture while baby is preterm

Question 6

Duration of labor should be less than how long since time of rupture of membranes?

Answer 6

18 hours

Question 7

What is the most common cause of pathologic rupture of membranes?

Answer 7

Infection

Question 8

How do diagnose rupture of membranes and what will we see?

How to confirm?

Answer 8

Speculum
Pooling of fluid, nitro test to see blue
US to see less fluid

Question 9

What are we thinking for premature rupture of membranes?

Answer 9

Infection by GBS and if so, give ampicillin

Also, baby is term so we can deliver

Question 10

With pre term premature rupture of membrane, how do we treat?

Answer 10

Over 34 weeks, deliver
Under 24, abortion
24-34 give steroids for lung maturation

Question 11

What are we worried about with prolonged rupture of membranes?
How will the patient present?
Diagnosis?
Treatment?

Answer 11

Basically, membranes have ruptured but baby hasn’t been delivered within 18 hours.
Infection. Either GBS or vaginal flora that has ascended because now there is an opening. So infections endometriosis or chorioamnio
Mom with prolonged ruptured membranes and fever
Ampicillin, gentamicin, and clindamycin

Question 12

How to best treat pre term over 34 weeks?
Under 20 weeks?
Between?

Answer 12

Deliver
Abortion, deliver
Steroids and tocolytic

Question 13

What is the treatment week of pregnancy?

Answer 13

34