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PREMATURE RUPTURE OF MEMBRANES (PROM)

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PREMATURE RUPTURE OF MEMBRANES (PROM) Lin Qi De Definition PROM is defined as the rupture of the chorioamniotic membrane before the onset of labor ... – PowerPoint PPT presentation

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Title: PREMATURE RUPTURE OF MEMBRANES (PROM)


1
PREMATURE RUPTURE OF MEMBRANES
(PROM)
  • Lin Qi De

2
Definition
  • PROM is defined as the rupture of the
    chorioamniotic membrane before the onset of labor

3
Incidence
  • PROM occurs in about 1015 of all delivery
  • PROM is associated with 10 of term pregnancy

4
Cause of PROM
  • Trauma (abdominal striked intensely)
  • Sexual intercourse(particularly in the late
    gestational weeks)
  • Vaginal infection
  • due to bacteria?virus?TOXO?CMV?HPV and
    HSV,et al
  • Smoking

5
  • Other
  • Prior PROM
  • A short cervical length
  • Prior preterm delivery
  • Bleeding in early pregancy

6
Affect of PROM on the mothers and
infants
  • Mothers
  • (1) Infection intrauterine
  • puerperal
  • (2) Placental abruption
  • (3) Preterm delivery

7
  • Infants
  • (1) Preterm Baby and their Complications
  • (RDS / Fetal and Neurologic dysfunction
  • Intracranial hemorrhage)
  • (2) neonatal pneumonia?sepsis
  • (3) Pulmonary hypoplasia and fetal
  • compression syndrone
  • (4) Prolapse or compression of umbilical
    cord
  • (5) Abruptio placenta

8
Clinical manifestation
  • (1) Fluid passing through the vagina suddenly,
    and then small amounts of fluid flow through the
    vagina intermitently, particularly when the
    increased of abdorminal pressure (cough,sneeze,et
    al)

9
  • (2) Free flowing amniotic fluid
  • (3) Fever / heart rate of mother and
  • infants ? / WBC and CRP ?/ Uterine
  • tenderness on palpation

10
Diagnosis
  • (1) Vaginal speculum exam.
  • leakage of amniotic fluid
  • (2) PH determination of vaginal fluid
  • (3) The
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