Flashcards in 8 - Obs - Preterm Delivery - Preterm Prelabour ROM Deck (6):
membrane rupture weeks
occurs before ?/3rd of preterm deliveries
? ? is principal compx, follows within 48h in >?% cases. Infection of ? or placenta (?) or cord (?) common. May occur before and be the ?, or may follow ?. ? of umbilical cord may occur rarely. Absence of ? (<24 wks) can lead to pulm ? and ?
Hx: Gush of ? fluid, followed by further ?.
Ex: ? and ? checked. Pool of fluid in ? ? on speculum ex is ?, but not invariable. VE ?
though can be done to r/o cord ? if presx not ?. Chorioamnionitis characterized by ? or ? pain, fever, ?, uterine ? and ?
offensive liquor. Clinical signs often ?.
To confirm diagnosis: ??? may show reduced ?, but volume can be normal as fetal ?
To look for infection: ? vaginal swab, ???, ???. If in doubt, ? w gram staining and ? can be used.
Fetal Well-being: CTG. Persistent fetal ? = infection.
Risk of preterm ? balanced vs risk of ?– if present, greatly incr fetal ? and ?-? morb. Prevention and ID ?. Woman admitted and given ?. Close maternal and fetal ?, if gestation reaches 36wks > ?.