Which exams are performed and which should be avoided following premature rupture of membranes (PROM)?

Updated: Oct 05, 2018
  • Author: Allahyar Jazayeri, MD, PhD, FACOG, DACOG, FSMFM; Chief Editor: Carl V Smith, MD  more...
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Ultrasonographic examination for amniotic fluid index and fetal growth and well being should be used liberally to ensure appropriateness of continued expectant management. While oligohydramnios, defined as an amniotic fluid index of less than 2 cm, has been associated with short latency and chorioamnionitis, it alone is not an indication for delivery when other means of surveillance are reassuring. White blood cell count is not predictive of outcome and does not need to be monitored other than to support clinical suspicion of chorioamnionitis.

Digital cervical examinations should be avoided. [14] In a noncephalic presentation, especially with a dilated cervix, continuous monitoring should be considered to avoid missing the diagnosis of cord prolapse.

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