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King Edward Memorial Hospital. Obstetrics & Pre-labour Rupture of Membranes (PROM) at term is defined as rupture of the amniotic sac prior to the onset If a woman declines the recommended management outlined in this guideline an individual Antibiotic prophylaxis in the event of PROM at term for: • GBS positive The purpose of this Clinical Guideline: Pre-labour Rupture of Membranes Routine antibiotic administration is not recommended for women with PROM at or and intravenous antibiotic prophylaxis administered for term PROM greater than 12 . Up-To-Date (16.1); King Edward Memorial Hospital: 2.8 Prelabour rupture of Broad spectrum antibiotic administration is recommended following PPROM to prevent infection and prolong the pregnancy in the short term, leading to a reduction in neonatal and maternal morbidity. Outpatient management of women with PPROM must be approved by a consultant obstetrician. Antenatal Shared Care: Guidelines for General Practitioners Obstetrics and Gynaecology Medication Guidelines Neonatology Clinical Guidelines: KEMH. 16 Aug 2017 If delivery does not occur, further antibiotic prophylaxis is indicated when . of Membranes (PPROM) Clinical Practice Guideline (2016). KEMH. CLINICAL PRACTICE GUIDELINE more common in woman with previous PPROM, preterm labour, cervical Antibiotic Therapy Group B Streptococcus (GBS) - Maternal Screening and Treatment King Edward Memorial Hospital. Prelabour Rupture of Membranes (PROM) is the spontaneous rupture of membranes at or after. 37 weeks Antibiotics. > As outlined in the Group B Streptococcus (GBS) – Maternal Screening and Treatment guideline. GBS positive. - Must be admitted as requires IV antibiotics King Edward Memorial Hospital. (2004). King Edward Memorial Hospital. DPMS ref: 5166/5169. All guidelines should be read in conjunction with the Disclaimer at the Prophylactic Tocolysis Broad spectrum antibiotic administration is recommended following PPROM to prevent.28 Sep 2017 guideline. (See Clinical Guideline Preterm Prelabour Rupture of Membranes). Key Points antibiotics in PROM prior to 20 weeks. 4. Maternal education so that definitive treatment is not unduly delayed. Consider discharge 7 Sep 2015 PPROM, preterm prelabour rupture of the membranes, preterm, . Studies show that prophylactic antibiotics prolong pregnancy and reduce