Medicine an Surgery notes

Apr 24th, 2015
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PREMATURE RUPTURE OF MEMBRANESIntroductionEssentials of Diagnosis* History of a gush of fluid from the vagina.* Continued leakage of fluid from the vagina.* Demonstration of amniotic fluid leakage from the cervix.* Demonstration of oligohydramnios by ultrasound examination.General ConsiderationsRupture of the membranes may happen at any time during pregnancy. It becomes a problem ifThere's prematurity - preterm premature rupture of membranes (PPROM)orIt is long before the onset of labor - prelabor rupture of the membranes. (If 24 hours elapse between rupture of the membranes and the onset of labor, the problem is one of prolonged premature rupture of the membranes.)CausesThe exact cause of rupture is not known, although there are many associated conditions.Diseases And Disorders Associated With Premature Rupture Of The Membranes.1. Maternal infection (e.g., urinary tract infection, lower genital tract infection, sexually transmitted diseases)2. Intrauterine infection3. Cervical incompetence4. Multiple previous pregnancies5. Hydramnios6. Nutritional deficit7. Decreased tensile strength of membranes8. Familial history of premature rupture of membranesPremature r

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