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See full list on obgproject. com Prelabor rupture of the membranes (prom) refers to rupture of the fetal membranes prior to the onset of regular uterine contractions. It may occur at term (37+0 weeks of gestation) or preterm (
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The latter is designated preterm prom (pprom). The optimal approach to assessment and treatment of women with term and preterm prom remains challenging. Management decisions depend on gestational age and evaluation of the relative risks of delivery versus the risks (eg, infection, abruptio placentae, and umbilical cord accident) of expectant management when pregnancy is allowed to progress. The diagnosis is uncertain.
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If liquor is seen, then treat as srom. If liquor is not evident then perform eliprom. If positive then treat as srom. If negative then assume membranes are still intact. On the rare occasion that eliprom is negative but the history is very suggestive of srom, discuss with the registrar/consultant
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