Today’s Quiz 13/5/22 Leave a Comment / Blog / By obgninja /2 Preterm Prelabor Rupture of Membranes z6 PPROM 1 / 2 Q12 PPROM A woman presents at 32 weeks gestation with history of fluid discharge from vagina. Clinical examination confirms PPROM. She receives injection betamethasone, and stays afebrile throughout her hospital stay. Ultrasound findings are as follows- 1. Single , live intrauterine fetus in cephalic presentation. Placenta fundal. Amniotic fluid index is 13. How frequently should she be followed up after discharge? A. To continue follow up as if she does not have PPROM. to report if any fever or foul smelling discharge. B. She should not be discharged- and should be treated as inpatient. C. Once or twice a week D. Every 2 weeks When cared for as an outpatient, women should be advised of the symptoms of chorioamnionitis and be reviewed regularly (including blood tests [white cell count and C-reactive protein], clinical recordings and fetal heart rate monitoring), for example, in a day care unit, maternity triage or antenatal ward, one or two times each week; if the woman has any concerns, she should attend the hospital immediately. 2 / 2 Q13 PPROM A woman presents at 25 weeks gestation with history of fluid discharge from vagina. Clinical examination confirms PPROM. She receives injection betamethasone, and stays afebrile throughout her hospital stay. Ultrasound findings are as follows- 2. Single , live intrauterine fetus in breech presentation. Placenta fundal. There is gross oligohydramnios. How frequently should she be followed up after discharge? A. To continue follow up as if she does not have PPROM. to report if any fever or foul smelling discharge. B. She should not be discharged- and should be treated as inpatient. C. Once or twice a week D. Every 2 weeks A retrospective cohort study of women with PPROM who had planned home care, found that membrane rupture occurring - before 26+0 weeks - non-cephalic presentation and - oligohydramnios were associated with an increased risk of ‘complication’ (defined as fetal death, placental abruption, umbilical cord prolapse, delivery outside of hospital and neonatal death). The authors concluded that hospital based care should be recommended to women who have all three of these features. Your score is The average score is 66% Facebook Twitter Restart quiz
