PROM

Question 1

ROM Definition

Answer 1

Rupture of membranes: The amniotic sac has ruptured

Question 2

SROM Definition

Answer 2

Spontaneous rupture of membranes: The amniotic sac has ruptured

Question 3

PROM Definition

Answer 3

Prelabour rupture of membranes : The amniotic sac has ruptured before the onset of labour

Question 4

PROM Definition

Answer 4

Prolonged rupture of membranes: The amniotic sac ruptures more than 18 hours before delivery.

Question 5

Preterm premature ROM

Answer 5

Where the amniotic sac ruptures, releasing amniotic fluid, before the onset of labour and in a preterm pregnancy (under 37 weeks gestation).

Question 6

Diagnosis of ROM

Answer 6

Speculum examination = pooling of amniotic fluid into vagina.
Consider if doubt of Dx:
- Insulin-like growth factor-binding protein-1 (IGFBP-1) = high concs in amniotic fluid
- Placental alpha-microglobin-1 (PAMG-1) = similar alternative to IGFBP-1

Question 7

Management of preterm PROM

Answer 7

Prophylactic Abx to prevent = chrorioamnionitis.
FL = ERYTHROMYCIN 250mg 4 times daily for 10 days or until labour is established if within 10 days
Induction of labour may be offered from 34 weeks to initiate the onset of labour.