PROM counselling Flashcards

1
Q

ix

A

AVOID BIMANUAL - infection
sterile speculum - chekc liquor & umbilical cord
nitrazine test of vaginal fluid
USS check for gestation & liquor volume

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2
Q

mx

A

temp monitoring 12-hrly - infection
vaginal swab & blood tests
foetal monitoring
abx (AVOID co-amoxiclav)

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3
Q

delaying premature birth options

A

tocolytics (nifedipine, atosiban) - gives 48hrs to administer steroids
steroids 24-36 weeks

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4
Q

delivery/expectant mx

A

consider delivery in: infection // foetal distress // >34

PROM>37 - choice of immediate delivery

PROM at term should not exceed 96hrs

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5
Q

swab sample for ROM

A

placental alpha microglobulin-1 (amnisure)

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6
Q

immediate mx

A

IM betamethasone 12mg, 2 doses 24 hours apart

erythromycin 250mg QDS for 10 days

prophylactic IPA abx

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