Term PROM

Question 1

What is the incidence of term PROM?

Answer 1

8%

Question 2

What is the definition of TERM PROM?

Answer 2

Rupture of membranes prior to the onset of labour at or beyond 37weeks gestation

Question 3

What % Spontaneous labour follows term PROM
24h
48h
96h

Answer 3

24h - 70%
48h - 85%
96h - 95%

Question 4

What are the immediate risks of TERM PROM?

Answer 4

Cord prolapse
Cord compression
Placental abruption

Question 5

What are the criteria for expectant management for TERM PROM?S

Answer 5

Fixed cephalic presentation
GBS negative
No evidence of infection
Normal CTG
No VE, cervical change
Commitment to 4 hourly matenral temp, evaluation of vaginal loss and assessment of fetal wellbeing

Question 6

What is the method of choice for active management of TERM PROM?

Answer 6

Oxytocin

PGs may have a role in women with an unfavourable cervix