Podcast
Questions and Answers
What is the primary definition of PPROM?
What is the primary definition of PPROM?
- Rupture of membranes before 37 weeks and not in labor (correct)
- Rupture of membranes at term without labor
- Rupture of membranes before 37 weeks in labor
- Rupture of membranes at any stage of pregnancy
Which of the following is a key risk factor associated with PPROM?
Which of the following is a key risk factor associated with PPROM?
- Placental abruption
- Hyperemesis gravidarum
- Chorioamnionitis (correct)
- Gestational diabetes
In managing a patient with PROM, what action should be taken if there is no evidence of infection after 24 hours?
In managing a patient with PROM, what action should be taken if there is no evidence of infection after 24 hours?
- Induce labor immediately
- Continue monitoring with no interventions (correct)
- Initiate antibiotics
- Administer steroids
What should be performed to confirm PPROM?
What should be performed to confirm PPROM?
Which of the following symptoms indicates possible infection in PPROM patients?
Which of the following symptoms indicates possible infection in PPROM patients?
Flashcards
What is Preterm Premature Rupture of Membranes (PPROM)?
What is Preterm Premature Rupture of Membranes (PPROM)?
Preterm premature rupture of membranes (PPROM) occurs when a woman's water breaks before 37 weeks of pregnancy, while she is not in labor. It is a serious condition that requires medical attention.
What are the risks associated with PPROM?
What are the risks associated with PPROM?
PPROM increases the risk of infection within the uterus and can lead to early labor, potentially threatening the health of both the mother and the baby.
How is PPROM diagnosed?
How is PPROM diagnosed?
PPROM is diagnosed by a sterile speculum examination. This involves a visual inspection of the vagina and cervix, and a swab is taken for culture and sensitivity testing.
How is PPROM managed?
How is PPROM managed?
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What is Premature Rupture of Membranes (PROM)?
What is Premature Rupture of Membranes (PROM)?
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Study Notes
PPROM Management
- PPROM stands for preterm premature rupture of membranes
- PPROM occurs when a patient is less than 37 weeks gestation, not in labor, and has amniotic fluid leakage
- Risks for PPROM include infection (chorioamnionitis) leading to preterm labor
- Presentation includes amniotic fluid leakage or passage of water
- Diagnosis is confirmed by sterile speculum examination
- Management includes admission, history and abdominal exam, sterile speculum exam + high vaginal swab, CBC (TWBC), C reactive protein, ultrasound, antibiotics (erythromycin), steroids, meticulous follow-up for infection
- In patient follow-up, symptoms include fever, abdominal pain, offensive vaginal discharge
- In patient follow-up, signs include vital signs (pulse, temp), abdominal tenderness, and fetal heart sound
- In patient follow-up, investigations include TWBC and CRP
- If infection is detected, pregnancy termination is recommended
PROM Management
- PROM stands for premature rupture of membranes
- PROM occurs when a patient is in term, not in labor, and has amniotic fluid leakage
- Main risk of PROM is infection (chorioamnionitis)
- Management includes admission, history and abdominal exam, sterile speculum exam + vaginal swab, CBC, C reactive protein, ultrasound, antibiotics (erythromycin)
- Following admission, wait 24 hours for no sign of infection
- Most cases will deliver vaginally
- If no spontaneous labor occurs after 24 hours, labor will be induced
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