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Premature Rupture of Membranes and Post maturity. Dr. Madhavi Karki. Definition :. CAUSES. Diagnosis. Confirmation of Diagnosis. INVESTIGATIONS :. Dangers of PROM:. Management. POSTMATURITY ( POST-TERM PREGNANCY) : DEFINITION. ETIOLOGY. Diagnosis. Menstrual History:
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Premature Rupture of Membranes and Post maturity Dr. Madhavi Karki
Diagnosis • Menstrual History: • Suspected clinical findings: • Weight loss • Girth of the abdomen • History of false pain • Obstetric palpation • Internal Examination
Scheme of management of postmaturity Uncomplicated Complicated Cervix -ripe Cervix- unripe Cervix – unfavorable Cervix -favorable Stripping of membranes Vaginal PGE2 ARM CS ARM ARM Liquor –meconium stained CS Liquor clear Vaginal Delivery Liquor clear Oxytocin drip Vaginal delivery Liquor unclear Fetal monitoring Satisfactory fetal behavior vaginal delivery Fetal distress CS