PRETERM PREMATURE RUPTURE OF THE MEMBRANES   Def : membrane janin pecah < 37 mgg Masalah : o Fetus :         o Ibu :  Infection      Intra

-amniotic Postpartum Prematurity Ascending IU Infection Abruption Cord Accident Cord prolapse Oligohydramnious Arrest of pulmonary development (Pulmonary Hypoplasia) Potter’s syndrome (amniotic bands) Skeletal deformities

Thromboembolic disease Hemorrhage

Pem. Awal : o Fetal monitoring o Sterile speculum exam  Nitrizine test  Cairan vag  asam  Cairan amnion  basa  Flow of Liquor, specific smell, vernix o Ferning  Use dry slide (no slip)  Use low power o Val-salva Ttl : o P’salinan o o o Steroids (kl gak inf) Antibiotics – Erythromycin, prolong pregnancy and decrease neonatal complications Ttl support :  Tocolysis for steroid administration if no contraindications and fetus 24 – 34 weeks    Antibiotics for group-B strep prophylaxis AND for latency (add erythromycin) Ultrasound for fetal weight Neonatal consultation

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