Explain how will you manage the following cases:-
a) Premature rupture of membrane
b) Obstructed labour
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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