Diagnosis Premature rupture of membranes(PROM) BVaginal bleeding >Some with abruptio placenta or placenta previa BIncreased vaginal discharge and pressure >Incompetent cervix
Diagnosis Premature rupture of membranes(PROM) Vaginal bleeding ➢Some with abruptio placenta or placenta previa Increased vaginal discharge and pressure ➢Incompetent cervix 11
Diagnosis Laboratory studies BUltrasound:fetus,placenta BUrinalysis,culture and sensitivity testing Complete blood count with differential
Diagnosis Laboratory studies Ultrasound: fetus, placenta Urinalysis, culture and sensitivity testing Complete blood count with differential 12
Discharge examination >Cervical secretion cultures Amniocentesis >L/S ratio lecithin:sphingomyelin >or foam stability test
Discharge examination ➢Cervical secretion cultures Amniocentesis ➢L/S ratio lecithin: sphingomyelin ➢or foam stability test 13
Evaluation Gestational age Fetal weight Presenting part Fetal monitoring
Evaluation Gestational age Fetal weight Presenting part Fetal monitoring 14
Prediction Transvaginal ultrasound SCervical length>30mm,high negative predictive value,in the second and third trimesters Fetal fibronectin Protein of the choriodecidual matrix BAbsent from cervicovaginal secretions after 20 weeks,until delivery begins Bnegative swab
Prediction Transvaginal ultrasound Cervical length>30mm, high negative predictive value, in the second and third trimesters Fetal fibronectin Protein of the choriodecidual matrix Absent from cervicovaginal secretions after 20 weeks, until delivery begins negative swab 15