PPROM Preterm premature rupture of membranes o Rupture of membranes prior to 37

Pprom preterm premature rupture of membranes o

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PPROM (Preterm premature rupture of membranes)oRupture of membranes prior to 37 weeks and mother is in laboroPROMRupture of membrane before the onset of labor after 37 weeksoProlonged rupture of membranes > 24 hoursRupture of membranes without delivery for longer than 24 hoursoPreviable PROM before 24 weeksAmnio infusionsGenerally fetus does not surviveoRisk FactorsPrevious PPROM or preterm deliveryBleeding during pregnancyMultiple gestationsSTIsSmokingoRisksMotherInfection (chorioamnionitis)Increased rates of cesarean birthFetusInfectionPreterm deliveryHypoxia
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Fetal deformitiesoNursing CareMaintain pregnancy as long as possibleBe ready for possible delivery at any pointContinue fetal heart monitoringAntenatal steroids are given before 34 weeks gestationMonitor for infectionFeverIncreased WBCNon-Stress TestsBPP (Biophysical profile)If PPROM, monitor for signs/symptoms of infectionIUGRoIntrauterine growth restrictionPlacental abnormalitiesoMonitor baby for withdrawal symptoms
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