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Preterm Prelabor Rupture of Membranes

Z2 PPROM

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1. Q3 PPROM
A Primigravida woman presents at 32 weeks gestation with Preterm Prelabor Membrane Rupture. Erythromycin 250 mg QID was started. She should be tested for Group B streptococcus Carriage.

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2. Q4 PPROM
A Primigravida woman presents at 32 weeks gestation with Preterm Prelabor Membrane Rupture. Erythromycin 250 mg QID was started. She has not been tested for Group B streptococcus Carriage. 5 Days later, she starts getting labor pains and is found to be in active labor.
What is the recommendation regarding antibiotic her ?

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