Premature prelabour rupture of membranes (P-PROM)

Question 1

What is premature prelabour rupture of membranes?

Answer 1

The rupture of amniotic membranes before the onset of labour, before 37 weeks

Question 2

What are the causes of P-RPOM?

Answer 2

Infection
Early activation of normal physiological processes
Genetic predisposition

Question 3

What are the risk factors for P-PROM?

Answer 3

Smoking
Previous P-PROM
Vaginal bleeding during pregnancy
Lower genital tract infection
Invasive procedures
Polyhydramnios
Multiple pregnancy
Cervical insufficiency

Question 4

What are the investigations to confirm P-PROM?

Answer 4

Actim-PROM
Amnisure
Ultrasound
High vaginal swab for GBS

Question 5

What is the management of P-PROM?

Answer 5

Monitor for signs of chorioamnionitis
Corticosteroids if less than 34+6 weeks
Oral erythromycin for 10 days
Delivery considered at 34 weeks gestation

Question 6

What are the complications of P-PROM?

Answer 6

Chorioamnionitis
Oligohydramnios
Neonatal death
Placental abruption
Umbilical cord prolapse

Question 7

What are the components of the bishop score?

Answer 7

Fetal station
Cervical position
Cervical dilation
Cervical effacement
Cervical consistency