Guidelines
Preterm Premature Rupture of Membranes (PPROM)

Preterm Premature Rupture of Membranes (PPROM)

Note

This order set supplements the Antepartum Admission Order Set

Please consult with Neonatology and/or Maternal Fetal Medicine to individualize management in the peri-viable period for both latency antibiotics and/or corticosteroid administration

Q6h while awake (temperature, pulse, respiratory rate, and blood pressure)

Consider:

  • Neonatology
  • Maternal Fetal Medicine

GBS Positive, Negative or Unknown Status

Alternative Antibiotics for Patients with Allergies

E.g.:

  • Drug reaction with eosinophilia and systemic symptoms
  • Stevens-Johnson syndrome
  • Toxic epidermal necrolysis

Corticosteroids

Betamethasone 12mg IM, Q24H for 2 doses (fetal lung maturation)

For patients at 24+⁰ to 34+⁶ weeks of gestation