PROM

Question 1

Risk Factors of PROM

Answer 1

• Ascending Infections
• Polyhydraminos
• Multiple Gestations
• Prior PROM
• Bleeding in early pregnancy
• Smoking
• Short Cervix

Question 2

Diagnostic Tests of PROM

Answer 2

Nirazine Paper: blue on paper

Ferning : discharge appears fern like

Pooling: filling of speculum with amniotic fluid

Question 3

INVESTIGATIONS FOR PROM

Answer 3

 FBC (WBC important)
 C-reactive protein
 Clotting profile if there is infection

 Do ultrasound for
• Liquor volume/ amniotic fluid index (AFI)
• Fetal well-being
• Fetal lie and presentation
• Placental location

Question 4

Conservative Management of PROM( Gestation <34wks)

Answer 4

• Admit pt and monitor for signs of infection (check wbc, c reactive protein,uterine tenderness)
• Prophylactic Antibiotics
• Tocolytics
•Steroids (prevents RDS, NEC, Intraventricular hemorrhage, neonatal morbidity

Question 5

Complications of Prom

Answer 5

Preterm births
Infections
Placental abruption
Increase C/S rate