Term PROM Flashcards
1
Q
What is the incidence of term PROM?
A
8%
2
Q
What is the definition of TERM PROM?
A
Rupture of membranes prior to the onset of labour at or beyond 37weeks gestation
3
Q
What % Spontaneous labour follows term PROM
24h
48h
96h
A
24h - 70%
48h - 85%
96h - 95%
4
Q
What are the immediate risks of TERM PROM?
A
Cord prolapse
Cord compression
Placental abruption
5
Q
What are the criteria for expectant management for TERM PROM?S
A
Fixed cephalic presentation GBS negative No evidence of infection Normal CTG No VE, cervical change Commitment to 4 hourly matenral temp, evaluation of vaginal loss and assessment of fetal wellbeing
6
Q
What is the method of choice for active management of TERM PROM?
A
Oxytocin
PGs may have a role in women with an unfavourable cervix