Pre mature rupture of membrene

pre mature rupture of membrane
case presentation on PROM

1. Presentation On PREMATURE RUPTURE OF MEMBRANE SUBMITTED TO SUBMITTED BY Mrs. Nidhi Dadheetch Patel Krupa P. Assi. Lecturer Of Roll No. 21 Obstetrical and 4 th year B.Sc. Nsg Gaynacology

2. PRE MATURE RUPTURE OF MEMBRANE

3. INTRODUCTION OF Uterine Sac

4. Uterine Sac There are mainly two membranes of uterine sac. Chorion Amnion

5. Amniotic Sac (UTERINE SAC)

6. Function Of Amniotic Sac The amniotic sac is filling with amniotic fluid, this fluid provide protection to fetus and function as cushion of fetus . This fluid allow the fetus to move freely in uterine cavity.

7. WHAT IS ?? Premature Rupture Of Membrane

8. Meaning PRE : Before time MATURE : Developed RUPTURE : Breakage MEMBRANE : Layer

9. DEFINITION OF Premature Rupture Of Membrne

10. Definition PROM is define as…. “Rupture of membrane Or Breakage of Amniotic sac” More than 1 hour before the onset of labor

11. Classification Of Premature Rupture Of Membrane

12. Classification According To Fetal Age

13. Preterm Premature Rupture Of Membrane In this type of PROM membrane that rupture…. “Before the 37 week of gestational age”

14. Prolonged Premature Rupture Of Membrane In this type of rupture….. “24 hours has passed between membrane rupture And onset of labor”

15. Pre-viable Preterm Premature Rupture Of Membrane This type of rupture occurs… “Before 24 weeks of gestational age of fetus” ( It is also known as mid-trimester PPROM )

16. Causes & Risk-Factors of PREMATURE RUPTURE OF MEMBRANE

17. Causes Weakening of membranes Extreme force of contraction of uterus

18. Fetal movement

19. Risk-Factors Infection : UTI STDs Bacterial vaginosis Amniotic Sac infection Smoking during pregnancy Previous history of PROM Previous history of Preterm labor

20. Polyhydramnios (>2000ml) (Amniotic fluid – Normal=800ml) Multiple Gestation or Multiple pregnancy

21. Hemorrhage or Bleeding any time during pregnancy. Invasive procedures : (Amniocentesis)

22. Cervical insufficiency Footing Breech Application of vaginal cream

23. Signs and Symptoms PREMATURE RUPTURE OF MEMBRANE

24. Sings & Symptoms Painless leakage of fluid from vagina. Due to loss of fluid fetal can easily feel through belly. Decrease uterine size Meconium present in fluid Abdominal pain Fetal heart sound altered Gush of membrane Absence of steady labor contraction

25. Diagnostic Evaluations PREMATURE RUPTURE OF MEMBRANE

26. Diagnostic Evaluations History collection of Previous labor Maternal history Maternal illness Fetal movement assessment Fetal position Blood analysis Sterile speculum examination (to assess the inside of vagina)

27. Management Of PREMATURE RUPTURE OF MEMBRANE

28. Management according to classification

29. NURSING MANAGEMENT Hospitalization of woman Evaluated for Labor Fetal distress Infection Complete bed rest Continuous observe the fetal movement Continuous observe the fetal heart sound Continuous assess the vital signs of mother

30. ASSIGNMENT Write down the types of Premature Rupture Of Membrane. Write down the expectant management of PROM.

31. Prepared By PATEL KRUPA P. ROLL NO. 21 4 TH YEAR B.Sc. Nursing