g2p1 at preterm....
came with fever, leaking, fm good, no show, no abdominal pain
examination-
1. vital signs- 38.5 (high grade fever, )/PR= tachy
2. PA=ut term size, HPA= 5/5
3. SE= os closed, pooling,
3.VE= os closed
impression: PPROM with chorioamnionitis
mx:
1. take hvs during speculum
2. insert iv line green
2. TAS to see fetal condition
3. call MO- consult specialist
4. definitive tx- c-sec regardless of what th gestational age of the baby
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