Premature rupture of membranes resident survival guide
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.