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Old 06-03-2011
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ObGyn Most common causes of PROM

I understand that GBS is the most common cause (correct me if i am wrong) as an ascending infection

what are the next most common causes? e.coli or Chlamydia?
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Old 06-04-2011
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we usually when we MX PROM we do culture for GBS nd chlamydia and Gonorrea because one of the risk factor for ROM is STD and
we give Rx(penicillin and ampicillin )to cover GBS
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Old 06-04-2011
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so e.coli has nothing to do with prom?
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Old 06-04-2011
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Quote:
Originally Posted by docoftheworld View Post
so e.coli has nothing to do with prom?
u r right ecoli have nothing to do in prom
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Old 06-04-2011
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At term, infection remains the most serious complication associated with PROM for both the mother and the neonate.

Infection
  • Maternal: If chorioamnionitis is present at the time of PPROM, antibiotic therapy is usually given to avoid sepsis, and delivery is indicated. If chorioamnionitis is not present, prompt antibiotic therapy can significantly delay delivery, giving the fetus crucial additional time to mature. In preterm premature rupture of membranes (PPROM), antibiotic therapy should be given to decrease the risk of sepsis. Ampicillin or erythromycin should be administered for 7 days
  • Fetal: If the GBS status of the mother is not known, Penicillin or other antibiotics may be administered for prophylaxis against vertical transmission of Group B streptococcal infection.

Treatment

  • Antibiotics for group B streptococci, pending anovaginal culture results
  • Tocolytics
  • Corticosteroids if < 34 wk
Bed rest and hydration are commonly used initially.

I didn't find other organism related to PROM!
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Old 06-24-2011
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BUT WHY NOT E-COLI ?? also i think may cause infection...
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