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Premature Rupture of Membranes

How to test for PROM (Premature Rupture of Membranes)? sterile speculum exam to detect the presence of amniotic fluid Nitrazine paper turns deep blue when amniotic fluid is present
S/S of PROM leakage or sudden gush of fluid from the vagina
Maternal Risk factors of PROM Chorioamnionitis *** Endometritis retained placenta and hemorrhage maternal sepsis maternal death
Chorioamnionitis: fever, heavy or foul smelling vag discharge, abdominal pain, & fetal tachycardia
Endometritis postpartum infection of the endometrium
Fetal/ neonatal risk factors Respiratory distress syndrome with PPROM Fetal sepsis*** malpresentation prolapse of cord bad FHR tracings Premature birth Increased perinatal morbidity and mortality
Medications used if patient is ruptured Antibiotics if infection is present corticosteroids- promotes fetal lung maturity & helps prevent RDS
Top Priority Safety prevention of infection
Top nursing interventions Monitor for & report signs of infection Evaluate uterine activity and fetal response to labor Encourage rest on her side to promote uteroplacental perfusion Ensure hydration is maintained educate psychological support
Created by: Jaycee420