Premature rupture of membranes resident survival guide: Difference between revisions
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==Causes== | ==Causes== | ||
Common risk factors in the development of PROM include : | |||
*Maternal risk factors: | |||
* [[ | **[[Chorioamnionitis]] | ||
* [[ | **[[sepsis]] | ||
* [[ | **previous history of PROM | ||
**Additional factors are similar to those for preterm birth such as | |||
***Abnormal bleeding during the second trimester or late in the pregnancy, | |||
***Low BMI | |||
***Reduced cervical length | |||
***Smoking and drug abuse | |||
***Low socioeconomic status | |||
***deficiency of copper or vitamin C, along with connective tissue disorders are also linked to increased risk of PROM. | |||
*Fetal factors include : | |||
**Prematurity | |||
**[[Infection]] | |||
**[[Cord prolapse]] | |||
**[[Malpresentation]]. <ref name="pmid7088456">{{cite journal| author=Naeye RL| title=Factors that predispose to premature rupture of the fetal membranes. | journal=Obstet Gynecol | year= 1982 | volume= 60 | issue= 1 | pages= 93-8 | pmid=7088456 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7088456 }} </ref> | |||
===Common Causes=== | ===Common Causes=== | ||
* [[Common cause 1]] | * [[Common cause 1]] |
Revision as of 05:50, 19 February 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rinky Agnes Botleroo, M.B.B.S.
Synonyms and keywords:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Common risk factors in the development of PROM include :
- Maternal risk factors:
- Chorioamnionitis
- sepsis
- previous history of PROM
- Additional factors are similar to those for preterm birth such as
- Abnormal bleeding during the second trimester or late in the pregnancy,
- Low BMI
- Reduced cervical length
- Smoking and drug abuse
- Low socioeconomic status
- deficiency of copper or vitamin C, along with connective tissue disorders are also linked to increased risk of PROM.
- Fetal factors include :
- Prematurity
- Infection
- Cord prolapse
- Malpresentation. [1]
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according to the [...] guidelines.
History suggestive of PROM<be>(leakage of fluid from the vagina) | |||||||||||||||||||||||||||||
Physical examination findings confirm PROM •Pooling of fluid •Positive nitrazine and Ferning tests | |||||||||||||||||||||||||||||
Sterile speculum examination assess dilation and ultrasound if indicated | |||||||||||||||||||||||||||||
PROM ruled-out | PROM confirmed | ||||||||||||||||||||||||||||
Check gestational age •Arrange transportation to tertiary care if possible •Arrange prompt consult with obstetrician •Fetal non-stress test and ECG to assess well being | |||||||||||||||||||||||||||||
Induce delivery with oxytocin if at-term gestation | Plan delivery if any signs of infection, placental insufficiency, fetal distress, or active labor | ||||||||||||||||||||||||||||
24-31 weeks •Antibiotics+steroids •Delivery if lung maturity is satisfactory | 32-33 weeks •Antibiotics+steroids •Delivery at 34 weeks or amniocentesis if abortion is suspected | 34-36 weeks •Group B strep prophylaxis •Delivery | |||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Naeye RL (1982). "Factors that predispose to premature rupture of the fetal membranes". Obstet Gynecol. 60 (1): 93–8. PMID 7088456.