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Premature Rupture of Membranes and Post maturity

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

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  1. Premature Rupture of Membranes and Post maturity Dr. Madhavi Karki

  2. Definition :

  3. CAUSES

  4. Diagnosis

  5. Confirmation of Diagnosis

  6. INVESTIGATIONS :

  7. Dangers of PROM:

  8. Management

  9. POSTMATURITY ( POST-TERM PREGNANCY) : DEFINITION

  10. ETIOLOGY

  11. Diagnosis • Menstrual History: • Suspected clinical findings: • Weight loss • Girth of the abdomen • History of false pain • Obstetric palpation • Internal Examination

  12. Investigations :

  13. 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

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