Medicine an Surgery notes

Apr 24th, 2015
Studypool Tutor
Price: $10 USD

Tutor description

Word Count: 579
Showing Page: 1/19
PREMATURE RUPTURE OFTHE FETAL MEMBRANESMageto A.J1Objectives Anatomy& function of fetal membranes Definitions/ terminology Magnitude of problem Mechanisms of SROM Factors associated with PROM Goal of management Approach to a patient with PROM2IntroductionSurround amniotic cavityComposed of amnion & chorionVarious cells embedded in a collagen matrixAvascular, & no nervesFunctionsRetain amniotic fluidSecret substances into amniotic fluid & towards theuterusGuard fetus against infection ascending reproductivetract3Definitions PROM:rupture of membranes beforeonset of labor PPROM: rupture of membranes before37 weeks Prolonged PROM: >24hrs before onsetof labor4IncidencePROM: 8-10 % after 37 weeks PPROM: 1% of all pregancies In MTRH, very common problrm inobstetrics at any one time 1-2 patientsin the ward with PPROM5Magnitude of the problem PPROMass. With 30-40% of pretermdeliveries~ [ complications: RDS,neonatal sepsis, intraventricularhaemorrhage, necrotising enterocolitis] Intrauterine infection: chorioamnionitis,puerperal sepsis. Nenatal sepsis 2-20%, mortality 5% Increased risk of maternal CS6Mechanisms of membranerupture Biochemicalprocesses ~ disruption ofcollagen matrix Programmed cell death~ apoptosis Membranes stretching Infection of reproductive tract Cytokines Prostaglandins proteina

Review from student

Studypool Student
" Thanks for the help. "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1821 tutors are online

Brown University

1271 Tutors

California Institute of Technology

2131 Tutors

Carnegie Mellon University

982 Tutors

Columbia University

1256 Tutors

Dartmouth University

2113 Tutors

Emory University

2279 Tutors

Harvard University

599 Tutors

Massachusetts Institute of Technology

2319 Tutors

New York University

1645 Tutors

Notre Dam University

1911 Tutors

Oklahoma University

2122 Tutors

Pennsylvania State University

932 Tutors

Princeton University

1211 Tutors

Stanford University

983 Tutors

University of California

1282 Tutors

Oxford University

123 Tutors

Yale University

2325 Tutors