PROM Flashcards
1
Q
What is PROM
A
Prelabour rupture of membranes at least 37 weeks gestation
2
Q
How to confirm PROM
A
History of watery clear fluid PV
Urine dipstick shows fluid in vagina is alkaline
Speculum exam shows pooling of clear fluid
Vaginal fluid positive for IGF1 or alpha-microglobulin 1
3
Q
Maternal risks of PROM
A
Intrauterine infection
PPH due to retained placenta
APH due to placental abruption
Increased need for intervention
4
Q
Fetal risks of PROM
A
Intrauterine infection
Umbilical cord prolapse = hypoxia
5
Q
Management of PROM
A
Erythromycin 250mg QDS for 10 days or until labour starts (whichever first)
Blood test - FBC, CRP
Monitor fetal HR
Either wait maximum 24 hours for spontaneous labour OR induce
