Preterm Prelabour Rupture of the Membranes

Question 1

What are the fetal complications of PPROM?

Answer 1

Prematurity
Infection
Pulmonary hypoplasia

Question 2

What are the maternal complications of PPROM?

Answer 2

Chorioamnionitis

Question 3

How can PPROM be confirmed?

Answer 3

A sterile speculum examination

Question 4

What can be seen using a sterile speculum in someone with PPROM?

Answer 4

Pooling of amniotic fluid in the posterior vaginal vault

Question 5

What should be avoided in suspected PPROM?

Answer 5

Digital examination should be avoided due to the risk of infection

Question 6

If pooling of fluid is not observed, what else can be used to confirm PPROM?

Answer 6

Test fluid for placental alpha microglobulin-1 protein (PAMG-1)
or insulin-like growth factor binding protein‑1

Question 7

What other imaging can be used?

Answer 7

Ultrasound to show oligohydraminos

Question 8

What is the inital management of someone presenting with PPROM?

Answer 8

admission
regular observations to ensure chorioamnionitis is not developing

Question 9

What medication can be given to someone presenting with PPROM?

Answer 9

Oral erythromycin for 10 days

Question 10

What should be administered and why?

Answer 10

Antenatal corticosteroids to reduce the risk of respiratory distress syndrome

Question 11

When should delivery be considered in soemone presenting with PPROM?

Answer 11

34 weeks of gestation