Question

Explain how will you manage the following cases:-

a) Premature rupture of membrane

b) Obstructed labour

03 Mar 2025
Answer :
Word Count : 277

a) Premature Rupture of Membrane (PROM)  
- Initial Assessment: Confirm diagnosis through history (gush of fluid), physical examination, and sterile speculum examination.  
- Prevent Infection: Maintain strict hygiene, avoid digital vaginal examination, and administer prophylactic antibiotics if prolonged PROM (>18 hours).  
- Monitor Maternal and Fetal Well-being: Check fetal heart rate, monitor for signs of chorioamnionitis (fever, foul-smelling discharge, maternal tachycardia).  
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