Flashcards in PPROM COPY Deck (12)
What is the incidence of PPROM?
PPROM is associated with _______ of preterm births
What is the median latency after PPROM?
What are the benefits of erythromycin in the context of PPROM?
Improved neonatal outcomes
Is tocolysis recommended in PPROM?
Cochrane review found that
- tocolysis does not significantly improve perinatal outcome and might be associated with an increased risk of chorioamnionitis
- tocolysis was associated with an increased risk of APGAR <7 and the need for ventilation support
With PPROM, what is the delivery latency from
24-28/40: 8-10 days
31/40: 5 days
With PPROM, what are three risk factors for complications
(Fetal death, placental abruption, umbilical cord prolapse, delivery outside of hospital, neonatal death)
What does Amnisure test for?
Placental Micro Globulin PAMG-1
What are the complications of PPROM?
Why is increased emotional support required in PPROM?
Increased rate of PTSD
What were the findings of the Cochrane review on amnio infusion with PPROM?
Associated with improved outcomes in
- fetal umbilical artery pH at delivery
- variable decelerations in labour
- neonatal death
- neonatal sepsis
- pulmonary hypoplasia
- puerperal sepsis
BUT insufficient data: further evidence required.
NOT currently recommended as part of routine clinical practice