OnlineMedEd Shared "Obstetrics - L and D Path" - 3 Picmonics

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Obstetrics - L and D Path

Premature Rupture of Membranes (PROM)
Pathophysiology
Rupture > 1 Hour Before Labor
Risk Factors
Infection
PROM History
Incompetent Cervix
Diagnosis
Fern Test
Nitrazine Paper Test
Ultrasound
Treatment
Consider Tocolytics
Consider Antibiotics
< 34 Weeks Gestation
Corticosteroids
> 34 Weeks Gestation
Induction of Labor
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2 mins
Chorioamnionitis
Fever
Maternal or fetal tachycardia
Leukocytosis
Foul Odor to Amniotic Fluid
Treatment: Antibiotics
Monitor uterine tenderness, contractions and fetal activity
Monitor maternal vital signs & FHR
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2 mins
Postpartum Infection
Diagnosis
Fever > 100.4F After 24 Hours (38 C)
Risk Factors
Multiple Vaginal Examinations
Vaginal Trauma
Prolonged Rupture of Membranes
Cesarean Birth
Anemia of Pregnancy
Retained Placental Fragments
Poor Health Status
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3 mins

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