8 - Obs - Preterm Delivery - Preterm Prelabour ROM Flashcards Preview

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Flashcards in 8 - Obs - Preterm Delivery - Preterm Prelabour ROM Deck (6):
1

membrane rupture weeks

occurs before ?/3rd of preterm deliveries

37
1/3rd

2

Complx:

? ? 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 ?
deformities

preterm delivery
>50%
fetus
chorioamnionitis
funisitis
cause
rupture
prolapse
liquor
hypoplasia
postural

3

Clinical Features:

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 ?.

clear
leaking
lie
presx
posterior fornix
diagnostic
avoided
prolapse
cephalic
contractions
abdo
tachycardia
tenderness
coloured
late

4

Ix

To confirm diagnosis: ??? may show reduced ?, but volume can be normal as fetal ?
production continues.

To look for infection: ? vaginal swab, ???, ???. If in doubt, ? w gram staining and ? can be used.
Fetal Well-being: CTG. Persistent fetal ? = infection.

USS
liquor
uterine

high
CRP
FBC
amniocentesis
culture

tachycardia

5

MGMT

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 > ?.

delivery
infection
mort
long-term
essential
steroids
surveillance
induce

6

MGMT

Identification and Management of Infection
Early ? has few signs. If evidence, ?? Abx given ? and fetus ?, Abx alone won’t eliminate.

Prevention of Infection
Prophylactic use of ? in women without clinical evidence is usual. ?-? contraindicated as neonate more prone to ???.

chorioamnionitis
IV
immediately
delivered

erythromycin
co-amox
NEC

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