PROM counselling Flashcards
ix
AVOID BIMANUAL - infection
sterile speculum - chekc liquor & umbilical cord
nitrazine test of vaginal fluid
USS check for gestation & liquor volume
mx
temp monitoring 12-hrly - infection
vaginal swab & blood tests
foetal monitoring
abx (AVOID co-amoxiclav)
delaying premature birth options
tocolytics (nifedipine, atosiban) - gives 48hrs to administer steroids
steroids 24-36 weeks
delivery/expectant mx
consider delivery in: infection // foetal distress // >34
PROM>37 - choice of immediate delivery
PROM at term should not exceed 96hrs
swab sample for ROM
placental alpha microglobulin-1 (amnisure)
immediate mx
IM betamethasone 12mg, 2 doses 24 hours apart
erythromycin 250mg QDS for 10 days
prophylactic IPA abx