1/14/2024 0 Comments Signs of leaking amniotic fluid![]() ![]() Presence of infection whether in labour or not, regardless of the duration of the ruptureĬontinue IV administration for 48 hours after fever disappears then, change to amoxicillin + metronidazole PO to complete 7 days of treatment. No infection and rupture of membranes ≥ 12 hours, whether in labour or notĪmpicillin IV: 2 g, then 1 g every 4 hours during labour until the child is born – Vaginal examinations: as few as possible, always with sterile gloves and only if the woman is in labour or induction of labour is planned.Īmoxicillin PO: 1 g 3 times daily for 7 daysĭo not use amoxicillin/clavulanic acid (increased incidence of necrotizing enterocolitis in neonates).Īmpicillin IV: 2 g, then 1 g every 4 hours during labour until the child is born (whether the patient received amoxicillin PO beforehand)ĭo not continue antibiotics after delivery. – Admit to inpatient department and monitor: temperature, heart rate, blood pressure, uterine contractions, foetal heart tone, abnormal amniotic fluid (foul-smelling, purulent). urinary or genital tract infection) and treat accordingly. – In the event of preterm rupture of membranes, look for a maternal cause (e.g. – Pre-term birth, if the rupture occurs before 37 weeks LMP. – Intra uterine infection suspect infection in case of maternal fever associated with one or more of the following signs: persistent foetal tachycardia or foetal death, foul-smelling or purulent amniotic fluid, uterine contractions. Never administer a tocolytic agent, no matter what the gestational age, when intra-uterine infection is suspected. In case of doubt, perform speculum examination: look for fluid pooling in the vagina or leaking from cervical os when patient coughs.ĭifferential diagnosis: urinary incontinence, expulsion of the mucus plug, leucorrhoea. Discharge of amniotic fluid before the onset of labour, due to a leak or frank rupture of the amniotic sac.
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