PROM



  • Spontaneous ROM before onset of labor regardless of gest. age.
  • Cause: Infection (chorio.)
  • Labs: Cath UA w/ micro & C/S, UDS, CBC, BMP, fetal fibronectin.
  • Exam: Vaginal exam to assess cervical change, EFM.
  • Tx: EFM, Immediately deliver for fetal distress of maternal infection.

 


Steril Spec. Exam ( Pooling, Nitrazine, Ferning)

(-) (+)
Conservative Mgt.

Are UCs present?

 YES NO
No Tocolytics

 Chorioamnion present?

  YES NO
Culture, ABx, Deliver PREVIABLE
<24 Wks
PRETERM
24-33 Wks
TERM
>34 Wks
  Induce Labor
Bed Rest @ Home
Admit
Steroids
GC, Chlamydia
Ampi/Erythro
Prompt Delivery
Oxytocin
Prostoglandin
C-Section