Preterm Premature Rupture Of Membranes

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My water just broke...
- what do I do now?

Resources

PROM overview and general management

E-medicine:
http://www.emedicine.com/

pPROM Diagnosis and Management (American Famly Physician): http://www.aafp.org/

Expectant Management of pPROM (OBG Management): http://www.obgmanagement.com/

Evaluation and Management of pPROM (OBG Management): http://www.obgmanagement.com/

ACOG Guidelines:
www.pubmed.com [search for article ID: 9849720]

Survey of pPROM management practices (Am. J. Obstet. Gynecol.):
www.pubmed.com [search for article ID: 15507990]

Dr. Rose's Peripheral Brain - PROM:
http://faculty.washington.edu/
[for article, click on obstetrics/gynecology, then premature rupture of membranes]

Antibiotics

Antibiotic therapy after pPROM (JAMA):
www.pubmed.com [search for article ID: 9307346]

Effects of antibiotic therapy after pPROM (Am. J. Perinatology):
www.pubmed.com [search for article ID: 11110340]

Antibiotics for pPROM (Cochrane Database):
www.pubmed.com [search for article ID: 12804398]

Antibiotics for pPROM (Obstet. Gynecol.):
www.pubmed.com [search for article ID: 15516401]

Vaginal care / preventing infection

Importance of avoiding digital vaginal exams after pPROM (Int. J. Gynaecol. Obstet):
www.pubmed.com [search for article ID: 1971232]

Benefits of daily vaginal disinfection (J. Obstet. Gynaeco. Res.):
www.pubmed.com [search for article ID: 9798359]

Correcting therapies: Amniofusion, Amniopatch, Fibrin injection

Amnioinfusion general information:
http://www.thefetus.net/

Kentucky Post article - successful amnioinfusion:
http://www.kypost.com/

Amniopatch to repair second trimester pPROM (Acta. Biomed.):
www.pubmed.com [search for article ID 15301286]

Abstract of amniopatch article (Clinics in Perinatology):
http://www.fsneo.org/

Amniopatch treatment after amniocentesis-related pPROM (USF Health):
http://health.usf.edu/

Amniopatch treatment after amniocentesis-related pPROM (Vox Sanguinis):
http://www.blackwell-synergy.com/

Amniograft after spontaneous pPROM (Am. J. Gynecol.):
http://pt.wkhealth.com/

Use of gelatine sponge to plug cervix:
http://www.indegene.com/

Steroids

Safety of steroid use (BBC News):
http://news.bbc.co.uk/

Effects of antenatal steroids after pPROM (Aus. N.Z. J. Obstet. Gynaecol.):
www.pubmed.com [search for article ID: 8717561]

Single vs. Weekly courses of steroids after pPROM (Obstet. Gynecol.):
www.pubmed.com [search for article ID: 14754695]

Lung development

Beneficial impact of stress hormones after pPROM (Dr. Greene.com):
http://www.drgreene.com/

Embryologic Development of the Cardiopulmonary System:
http://www.salisbury.edu/

Pulmonary Hypoplasia (E-medicine):
http://www.emedicine.com/ped/topic2627.htm

Supplements

Benefits of Vitamin C & E supplementation after pPROM (Int. J. Gynaecol. Obstet.):
www.pubmed.com [search for article ID: 15907848]

Bedrest

Living through hospital bedrest (Sidelines):
http://www.sidelines.org/

When to deliver

Timing of elective delivery after pPROM (Am. J. Obstet. Gynecol.):
www.pubmed.com [search for article ID: 15167875]

Optimal gestational age for delivery after pPROM (Obstet. Gynecol.):
www.pubmed.com [search for article ID: 15625135]

Delivery at 32 or 33 weeks after pPROM (J. Matern. Fetal Neonatal Med.):
www.pubmed.com [search for article ID: 15621544]

Delivery for pPROM occurring between 30-36 weeks (Obstet. Gynecol.):
www.pubmed.com [search for article ID: 750133]

Preemies, NICU, Neonatology

See Resources section of Preparing for a PROM Preemie article.

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Article by Kay Squires, january 2005, updated 2007
Special thanks to the members of the PROM list



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