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PPROM

From Mediwikis

Preterm Premature Rupture Of Membranes (PPROM) is the rupture of membranes (amniotic sac) at least one hour before the onset of labour, at <37 weeks gestation.

Risk Factors

  • Bacterial Infection
  • Smoking

Investigation & Management

Inpatient:

  • Steroids (betamethasone) for lung maturation
  • FBC
  • CRP
  • Prophylactic ABX (erythromycin)
  • Contact neonatal unit

Outpatient:

  • Refer to high risk antenatal clinic for weekly visits
  • Arrange USS, AFI and Doppler scans
  • Refer to antenatal day unit

Delivery:

  • Induce if after 34wks gestation
  • Labour usually begins spontaneously in < 48hrs