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Unformatted text preview: Premature Rupture of (Membranes (PROM
By Dr. Alaa EL-Gohary M D Obs. & Gyn. DEFINITION: CAUSES:
Predisposing Direct Most common
Infection Trauma Cx. Incompetence A P Hage Malpresentation DIAGNOSIS Clinical: Investigation: Hist. Exam. Lab. Sonar. Complications:
Infection (s) Prematurity Cord problems Signs of chorioamnionitis: Maternal Fetal Management: Expectant Active
When & Why ? (Indications) Preterm labour
(Premature labour) Definition Causes:
Maternal Fetal Predisposing Direct Most common : Idiopathic(50%) Iatrogenic PROM Infections(Cause&Seq.) (Maternal&Fetal) Maternal diseases Proplems of prematurity: Resp. Temp. Liver Handling Immunity(infection) Development Features of prematurity Management Prevention (Best) Active:
Threatened(early) Established (late) Postmaturity
Definitions: Prolonged pregnancy (passed expected date) Post datism (post term) Postmaturity(syndrome pediatric) Causes: Wrong calculation Anencephaly Other causes .Cont Complications: 1.During pregnancy 2.During labour Diagnosis Management: Expectant THANK YOU
& All Good Wishes ...
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- Spring '08