Presentation
(assisted) (buttocks) (complete) (frank) (spontaneous) 652.2 brow presentation 652.4 cephalopelvic disproportion (normally formed fetus) 653.4 cerebral hemorrhage 674.0 cervical dystocia 661.2 chin presentation 652.4 cicatrix coagulation defect 649.3 [icd9data.com]
The physiological reasons for this rhythm are not understood at the present time. [ncbi.nlm.nih.gov]
No edema is present and UA comes back as negative. Pt denies any uterus tenderness. Fetal Heart Rate is present with a rate 130 bpm and the patient states she felt the baby’s last movement about an hour ago. [registerednursern.com]
Entire Body System
- Fever
Fever. b. Uterine tenderness. c. Foul smelling amniotic fluid. d. Fetal tachycardia (fetal heart rate greater than 160 beats per minute). Known unbalanced chromosomal complement. Cerclage. Previous CVS in this pregnancy. Uterine anomalies. [losangelesfetaltherapy.org]
Fever in children - UNDER 5 years Fever in children - OVER 5 years Head Injury Viral induced wheeze Empirical antibiotic guidelines Parent information on emotional/mental health Parent infromation sheets on common medications Safeguarding Useful links [what0-18.nhs.uk]
Fever, heavy or foul-smelling vaginal discharge, abdominal pain, and fetal tachycardia, particularly if out of proportion to maternal temperature, strongly suggest intra-amniotic infection. [merckmanuals.com]
- Sepsis
7 23.4 27 850 2 7 Neonatal sepsis Table 3 Rupture of Membranes: Neonatal Deaths in Newborns Delivered After 24 Weeks (n=13) * Rupture of Membrane Delivery Apgar scores † Case No. [jaoa.org]
CCN Network Clinical community pathways Paediatric Pathways Abdominal Pain Acute asthma/wheeze Bronchiolitis Diarrhoea and vomiting Fever Head Injury Sepsis Feeding Pathways Colic in Infants Cow's milk protein allergy Faltering growth in infants Gastro-oesophageal [what0-18.nhs.uk]
No differences were shown on the primary outcome measures of probable early-onset neonatal sepsis (average RR 0.69, 95%; CI 0.21 to 2.33); definite early-onset neonatal sepsis (average RR 0.57, 95% CI 0.08 to 4.26); maternal infectious morbidity (chorioamnionitis [cochrane.org]
See other definitions of SRM Samples in periodicals archive: A 21-year-old primigravida had a spontaneous rupture of membranes at 34 weeks' gestation with clear liquor and no clinical or laboratory features of sepsis. [acronymfinder.com]
No difference in either probable or definite early‐onset neonatal sepsis was shown in either subgroup, although there were trends toward reduced probable and definite early‐onset neonatal sepsis in the late induction group. [cochranelibrary.com]
Cardiovascular
- Tachycardia
Fetal tachycardia (fetal heart rate greater than 160 beats per minute). Known unbalanced chromosomal complement. Cerclage. Previous CVS in this pregnancy. Uterine anomalies. Large uterine fibroids (>6 cm). [losangelesfetaltherapy.org]
If she has a fever, heavy or foul-smelling drainage, abdominal pain, or fetal tachycardia (baby's heart rate is elevated), then it's suggestive of chorioamnionitis (uterine infection). [study.com]
Ascending infection is suspected: maternal or fetal tachycardia, temperature, abdominal tenderness. Women are usually seen in hospital and admitted for the first 48 hours. [patient.info]
Nursing Outcomes: -Pt will be free from any signs and symptoms of infection such as foul smelling/looking vaginal drainage, elevated temperature, uterus tenderness or rigidness, diminished fetal movement, tachycardia, and hypo-tension throughout rest [registerednursern.com]
Urogenital
- Vaginal Discharge
· Positive fern test (air-dry a drop of the vaginal discharge on a slide and examine for arborisation). · The pH of the vaginal discharge is more than 7, in the absence of bacterial vaginosis and blood. · Ultrasound examination (oligohydramnios, when [folk.uio.no]
discharge in pregnancy Feeding Pathways Secondary lactose intolerance Gastro-oesophageal reflux Faltering growth in infants Cow's milk protein allergy Colic in Infants Feeding Pathways - Supporting information Colic in Infants - additional notes CMPA [what0-18.nhs.uk]
Local examination: Offensive vaginal discharge. Minimal inoffensive vaginal discharge is often associated with severe cases. Uterus is tender. Products of conception may be felt. Local trauma may be detected. [gfmer.ch]
discharge, or abdominal pain. [merckmanuals.com]
- Cervical Incompetence
Diagnosis History: Abortion due to cervical incompetence is characterised by: History of a previous operation as dilatation or amputation of the cervix may be present. [gfmer.ch]
Multiple Gestation, Inadequate prenatal care, Maternal Medical Disease, History of pyelonephritis or other maternal infection, Known cervical incompetence, Polyhydramnios, Uterine anomaly, Cervix dilated >1cm 32 weeks, Fetal abnormality, Febrile illness [quizlet.com]
incompetence or insufficiency Shortening of the cervix Signs And Symptoms Of Premature Rupture Of The Membranes (PROM) The most significant sign of PROM is fluid leaking from the vagina. [abclawcenters.com]
incompetence, defined by cervical dilation of more than 1 cm with or without regular uterine contractions, respectively. [nature.com]
incompetence, planned cervical cerclage, uterine malformation, antepartum hemorrhage, and previous cervical surgery were excluded from the investigation. [intechopen.com]
- Foul Smelling Vaginal Discharge
vaginal discharge, or abdominal pain. [merckmanuals.com]
Treatment
Quintero RA: Treatment of previable premature ruptured membranes. Clin Perinatol 2003;30:573–589. [karger.com]
Treatment for premature rupture of membranes: Specific treatment for PROM will be determined by your physician based on: your pregnancy, overall health and medical history extent of the condition your tolerance for specific medications, procedures or [chw.org]
In addition, the following post-marketing reports for the same class of enzyme replacement therapy used in the treatment of ADA-SCID, may also be seen with Revcovi treatment: Hematologic events: hemolytic anemia, autoimmune hemolytic anemia, thrombocythemia [revcovi.com]
Treatment The normal treatment of PROM is delivery, especially if there are any complications such as fetal compromise or suspected infection. [study.com]
They often compare a new or different treatment with the best treatment currently available. This is to test whether the new or different treatment is safe, effective and any better than what is currently used. [evidentlycochrane.net]
Prognosis
· Antibiotics (up till delivery) Prognosis Prognosis to fetus and newborn depends on: · gestational age, · presence of intrauterine infection, · antibacterial treatment, · pre-, intra- and postnatal care quality. Smaill F. [folk.uio.no]
Midtrimester (13-26 wk) PPROM has a poor prognosis, although more recent studies have reported better outcome. [emedicine.medscape.com]
Generally, amnioinfusion is used to prevent the poor prognosis of the condition. However, the present study avoided the infusion because of its proven fetal anomalies 6. [ispub.com]
In pregnancies in which ROM occurred before 20 weeks, the prognosis was poor. In this group, later age at delivery did not confer a survival advantage. [nature.com]
Etiology
Genetics Genetic susceptibility has been reported for recurrent acute otitis media (AOM) and chronic otitis media with effusion (COME), two etiologies that may lead to the complication of TM perforation (1)[C]. [unboundmedicine.com]
Despite a variety of etiologies, often there is no obvious cause that is identified in a patient who presents with PROM. Epidemiology At term, PROM complicates approximately 8% of pregnancies. [ncbi.nlm.nih.gov]
This study aimed at determining the clinicoepidemiological pattern, etiological factors, clinical presentation, and management of tympanic membrane perforation in a tertiary hospital in Nigeria. [njcponline.com]
The role of infections in the etiology of spontaneous abortion is controversial. [firattipdergisi.com]
There appears to be no single etiology of preterm PROM. [aafp.org]
Epidemiology
Epidemiology Incidence in the general population is unknown because many perforations heal spontaneously. [unboundmedicine.com]
Congenital cytomegalovirus infection: review of the epidemiology and outcome. Obstet Gynecol Surv. 2002; 57 :245–256. [ PubMed ] [ Google Scholar ] 8. Fowler KB, Stagno S, Pass RF. [ncbi.nlm.nih.gov]
Epidemiology PROM occurs in 6-19% of term pregnancies. [ 1 ] P-PROM occurs in 2% of all pregnancies. [ 2 ] P-PROM is associated with 40% of preterm deliveries and can lead to significant morbidity and mortality. [patient.info]
Clinics in perinatology, 38(3): 423-39 [ CR ] [ EČ ][ GS ] Zhang, W., Luo, X. (2015) Obstetrical Disease Spectrum in China: An Epidemiological Study of 111,767 Cases in 2011. [scindeks.ceon.rs]
Pathophysiology
Eustachian tube dysfunction and inability to equalize middle ear pressures Rapid changes in ambient pressures (air flight or deep-water diving) Insertion of objects into ears, frequent cotton tip use Head trauma, exposure to explosions Etiology and Pathophysiology [unboundmedicine.com]
This leads to limited prediction and prevention of sPTL-IM due to its complex pathophysiological process. [intechopen.com]
European Journal of Obstetrics & Gynecology and Reproductive Biology, 174: 64-69 [ PM ] [ EČ ][ GS ] Choi, Y.Y. (2014) Necrotizing enterocolitis in newborns: update in pathophysiology and newly emerging therapeutic strategies. [scindeks.ceon.rs]
[…] return to top Pathophysiology Normally, cells of amniotic membrane are programmed to die at term. Cell death activates collagenase, a catabolic enzyme that leads to degradation of the membranes. [sharinginhealth.ca]
Prevention
[…] may be necessary to prevent further complications). [chw.org]
[…] transmission of this bacteria to the fetus, regardless of earlier treatments.[11] Controversial or not recommended[edit] Preventative tocolysis (medications to prevent contractions): the use of tocolytic medications to prevent labor contractions is controversial [en.wikipedia.org]
The basic approach to PPROM therapy aims to prevent premature birth and the development of foetal distress, and decrease the risk of maternal and foetal infection, and amniotic fluid loss. [go.gale.com]
This guideline should be read in conjunction with the guideline for the prevention of early onset neonatal GBS, and the guideline for induction of labour. [icid.salisbury.nhs.uk]