Good evening doctors ..

We practice that premature rupture of membranes more than 16 hour we should investgate baby for possible sepsis even if he is clinically good in 1 st 24 hours because infection may start to manifest after 2 or 3 days ...but what if the history of mother is only leakge  for couple of days can this be considered PROM ? 🤔

 

Thanks in advance 🙂

At our unit, we routinely screen and start antibiotics if there are 2 risk factors. Prolonged rupture of membranes is 1. The others we look out for are fever in the mother more than 38C, premature onset of labour, positive GBS on HVS, features of chorioamnionitis (fetal tachycardia, maternal tachycardia, foul smelling liquor). Remember, most investigations are not helpful in the first 24 hours of the illness. 

Good evening doctors ..
We practice that premature rupture of membranes more than 16 hour we should investgate baby for possible sepsis even if he is clinically good in 1 st 24 hours because infection may start to manifest after 2 or 3 days ...but what if the history of mother is only leakge  for couple of days can this be considered PROM ? [emoji848]
 
Thanks in advance [emoji846]

In our hospital, for asymptomatic babies we start antibiotics only if 3 or more risk factors are present especially in preterm babies and if septic screen at birth or 24 hrs is positive. We did not find any increase in the mortality for good weight babies. For low birth weight babies we usually monitor for 72 to 96hrs if not starting antibiotics.

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Hi all,

have you tried the EOS online calculator for babies >34 weeks ? 

https://neonatalsepsiscalculator.kaiserpermanente.org/

you can also check the most recent AAP guidelines 

https://pediatrics.aappublications.org/content/142/6/e20182894

https://www.ncbi.nlm.nih.gov/pubmed/30455344

https://pediatrics.aappublications.org/content/144/2/e20191881

Enjoy

 

 

8 hours ago, gmavrogeorgos said:

Hi all,

have you tried the EOS online calculator for babies >34 weeks ? 

https://neonatalsepsiscalculator.kaiserpermanente.org/

you can also check the most recent AAP guidelines 

https://pediatrics.aappublications.org/content/142/6/e20182894

https://www.ncbi.nlm.nih.gov/pubmed/30455344

https://pediatrics.aappublications.org/content/144/2/e20191881

Enjoy

 

 

Very interesting 👍👍 many thanks 

On 2/10/2020 at 4:38 PM, fatte said:

In our hospital, for asymptomatic babies we start antibiotics only if 3 or more risk factors are present especially in preterm babies and if septic screen at birth or 24 hrs is positive. We did not find any increase in the mortality for good weight babies. For low birth weight babies we usually monitor for 72 to 96hrs if not starting antibiotics.

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Very good point ..thank you Dr.

we screen at 6 hours and 24 hours cbc, crp.

our obstetricians say small leakage is not possible , it is urine of mother.