Premature rupture of membranes resident survival guide

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

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

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

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


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