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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