Obstetrics & Gynaecology
Preterm Prelabour Rupture of Membranes (PPROM)
Diagnosis, antibiotic prophylaxis, corticosteroids, and gestational-age-based management of PPROM
Source: RCOG GTG 73 2019
Step 1 of ~8
info
PPROM
PPROM: rupture of membranes before 37 weeks, before onset of labour. Incidence 2–3% of pregnancies. Risks: preterm birth, infection (chorioamnionitis), cord prolapse, placental abruption, pulmonary hypoplasia if early. Diagnosis: speculum (pooling, ferning, nitrazine/AmniSure test).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Cefalexin (UTI / GBS Prophylaxis in Pregnancy) · First-Generation Cephalosporin — Obstetric Antibiotic
- Erythromycin (PPROM / GBS in Pregnancy) · Macrolide Antibiotic — Obstetric
- Clindamycin (BV / GBS Prophylaxis) · Lincosamide Antibiotic — Obstetric / Gynaecological
- Co-amoxiclav (Open Fracture Antibiotic Prophylaxis) · Beta-lactam / Beta-lactamase Inhibitor Combination
- Nitrofurantoin (Paediatric — UTI Prophylaxis) · Urinary Antiseptic Antibiotic
- Fluconazole (Paediatric) · Triazole Antifungal — Candida / Fungal Prophylaxis in Preterm Neonates
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.