Premature Labour Flashcards by Ella Knight | Brainscape

Q

What is PROM?

A

Premature rupture of membranes

Rupture of fetal membranes >1 hours before labour

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Q

What is P-PROM?

A

Preterm premature rupture of membranes

Rupture of fetal membranes <37 weeks gestation

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Q

What is preterm labour?

A

<37 weeks

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Q

What can be used as prophylaxis for preterm labour?

A

Vaginal progesterone

Cervical cerclage = stitch into cervix

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Q

How can preterm labour be managed?

A

CTG

Tocolysis with nifedipine - stop uterine contractions

Maternal corticosteroids - develop fetal lungs

IV magnesium sulphate - protect fetal brain

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Q

How is the diagnosis of P-PROM made?

A

Speculum - look for pooling of amniotic fluid

Actim PROM - vaginal swab that measure IGFBP1

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Q

How is P-PROM managed <34 weeks?

A

Prophylactic erythromycin

Corticosteroids

Aim for 34 weeks

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Q

How is P-PROM 34-36 weeks managed?

A

Prophylactic erythromycin

+/- corticosteroids

Induction + delivery

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Q

How is P-PROM >36 weeks managed?

A

Watch and wait for 24 hours - labour should start

Induction if not

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Q

What are complications of PROM?

A

Chorioamnionitis

Oligohydramnios

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