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COMPLICATION OF PREMATURE RUPTURE OF THE MEMBRANES (PROM)
By :Ria Aulia Silvianty
COMPLICATION OF PROM :1.Prematur Labour2.Infection Mother, fetal3.Hipoksia and asfiksia4.Deformitas syndrome5.Increase risk of SC
PREMATURE LABOURMembrane ruptures Labour, depend on gestational ageAterm 24 hoursPreterm 1 weeks
PPROM Morbiditas and mortalitas : ARDS, NEC.Relation between duration rupture membrane and labourModerate shortening in first stage in PROM
INFECTIONMother and fetalMother : Chorioamnionitis, endometriosisFetal : pneumonia, UTI, konjungtivitisChorioamnionitis fetal infectionsepsisBacteriacolonized in chorioamnion+/-evident sign in mother
PROM passage to outher worldascending infection : streptococcus grup B,D, anaerob bacteriainvaded intra uterine infectionfetomaternalsistemik septic syok
Fetal inflammatory response syndrom :Chorioamnionitis damage of CNS: periventricular white matter lesion (Leukomalasia) mediated through an intense CNS inflammatory response Citokynes DAMAGE!!! CP
SIGN of INFECTIONFeverLeukocytosisFundal tendernessTakikardi: Mother, fetalAbdominal pain, uterus pain if it is pressedAmnion : green, mould
Hypoxia and asfiksiaPresentation of the fetal PROM Umbilical cord prolapsOligohidramnionUmbilical cord compression Hypoxia + asphyxia
Deformitas syndromeGrowth restrictionCompression to : Face, Limbs, pulmo Pulmonanary hypoplasia ec : oligohidramnionextrinsic compression disturbing thorax movement, blood streamgrowth disturbed
Increasing SC
Chorioamnionitis, endometriosis, fetal distress SC!!!!
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