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OB/GYN > PPROM > Flashcards

PPROM Flashcards

1
Q

What is PROM, PPROM, prolong PROM

A

PROM: rupture of membranes prior to onset of labor at any GA

PPROM: rupture of membranes prior to labour

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2
Q

Incidence

A

2-3% of all pregnancies

1/3 of all PTL

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3
Q

Risk factors

A

Maternal

  • FHx of PPROM
  • low SES
  • multiparity
  • cervical incompetence
  • infection (STI/UTI/BV)

Fetal

  • congenital abnor
  • multiple gestation
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4
Q

Risks of PPROM

A
  • infection
  • PTL
  • Abruption
  • cord prolapse
  • oligohydramnios
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5
Q

Diagnosis of PPROM

A

From Hx: gush of fluid

exam: fluid on spec/flow of liqor

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6
Q

Approach to woman with suspected PPROM

A
  1. Hx (total obs/gyn/mens, current pregnancy questions etc)
  2. Examination
    - GA
    - Vitals
    - Abdo palp
    - CTG
    - VE
    - USS ( assess: fetal wellbeing, placental location, AFI, GA, fetal abnormalities
  3. Ix
    - fFN
    - high vaginal swab
    - bloods
  4. Mx (next slide)
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7
Q

Mx of PPROM

A

more or less same as PTL

  1. admit
  2. ABx
  3. Tocolysis
  4. steroids
  5. Monitor wellbeing
  6. timing/mode of delivery?
  7. notify NICU
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OB/GYN (10 decks)

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