Pre-term premature rupture of membranes (PPROM)

Question 1

Management of PPROM?

Answer 1

Admitted and expectant management until 37 weeks including for signs of chorioamniotnitis

Medical: erythromycin for 10 days until in labour

Betamethasone/dexamethasone for 24 hours - to accelerate foetal lung maturation if 34 weeks or under

Magnesium sulphate - to support brain development in fetuses 30 weeks or less and in labour OR if planned labour within 24 hours

Question 2

What should you never offer to someone with PPROM and why?

Answer 2

Tocolysis - increases risk of chorioamnionitis as it prolonges labour

Question 3

Main complications of PPROM for the foetus and for the mother?

Answer 3

Foetus:
Pre-term labout
Cord Prolapse

Mother:
Chorioamnionitis -> sepsis
Endometritis -> sepsis
Post partum haemorrhage