PROM

Question 1

12 Risk factors of PROM

Answer 1

Nulliparity
Prev PROM
Prev preterm labour
STD
Vaginal bleeding
Uterine over distension
Low BMI
Smoking
lower socioeconomic status
Amniocentesis
Cervical cerclage
Trauma
Congenital uterine abnormalities

Question 2

4 Indications for immediate IOL or delivery by C/S in PROM

Answer 2

Fetal distress
Chorioamnionitis
Abruptio placentae with a live viable fetus
Congenital fetal abnormalities not compatible with life

Question 3

6 Maternal complications of PROM

Answer 3

Intrauterine infection
APH( Abruption)
Increase in operative interventions
PPH
Puerperal sepsis
Psychological issues

Question 4

9 Fetal complications of PROM

Answer 4

Prematurity
LBW
Birth asphyxia
Cord compression
IUFD
Intraventricular haemorrhage
Necrotising enterocolitis
Cerebral palsy
ARDS

Question 5

8 Indications of IOL in PROM

Answer 5

GA less than 24 weeks (or viability?)
GA more than 34 weeks
IUFD or severe congenital fetal abnormalities
Clinical signs of Chorioamnionitis
High risk of infection e.g AIDS
Pre eclampsia, chronic placental insufficiency
Evident IUGR
Pt not agreeable to conservative Mx despite…