Key points for observation of premature rupture of membranes

Pregnant women with placental abruption generally do not experience any significant discomfort except for vaginal discharge, so it is more easily ignored. However, the adverse effects of placental abruption on mother and child are obvious. Therefore, it must be dealt with and treated promptly. So, what are the key points in observing placental abruption?

The main methods for detecting placental abruption are: pH measurement of female secretions, acid-fast staining test of vaginal fluid, vaginal endoscopy, other tests of vaginal fluid, and transabdominal amniocentesis.

Placental abruption can be diagnosed by sterilizing the private parts and observing the vagina. If a small amount of fluid is seen discharged from the cervix or several ml of fluid is retained in the posterior fornix of the vagina, a diagnosis can usually be made based on the characteristics of the fluid. When diagnosis is difficult, auxiliary tests should be relied upon.

If a pregnant woman has placental abruption at 28 to 36 weeks of gestation with no obvious signs of infection, and her relatives request that the fetus be preserved, conservative treatment should be given under close observation. use:

(1) Rest in bed. If the fetus's head is not in the tummy, the pregnant woman should rest in bed, raise the bed legs appropriately, and sleep on her left side. Minimize vaginal and anal examinations. Keep the vulva clean, clean the perineum twice a day with 1‰ chlorhexidine cotton wool, and use sterile perineal pads.

(2) Pay close attention to blood count, body temperature and fetal heart rate changes, and listen to the fetal heart rate or conduct fetal monitoring regularly every day to understand the well-being of the fetus.

(3) Perform bacterial culture of female secretions and use antibiotics effectively.

(4) Carefully observe the characteristics and smell of the pregnant woman's amniotic fluid. If the pregnant woman's secretions are found to be turbid or the fetal heartbeat is increased or the body temperature is high, amnionitis or intrauterine infection is diagnosed, and the doctor should be notified immediately and induced abortion should be performed appropriately.

Immediately after the newborn is delivered, the purulent secretions in the mouth and throat should be eliminated, and 200,000 to 400,000 units of penicillin should be injected intramuscularly twice a day. In severe cases, it can be given by intravenous drip to reduce the complications of the newborn and reduce the mortality rate.

I hope the above introduction is helpful to everyone. If you want to know more information about placental abruption, you can check out my other articles on placental abruption.