A 35-year-old woman, gravida 2 para 1, attends the GP at 28 weeks of gestation. She reports leaking watery fluid from the vagina since yesterday. She ...

Question

A 35-year-old woman, gravida 2 para 1, attends the GP at 28 weeks of gestation. She reports leaking watery fluid from the vagina since yesterday. She has no contractions and no bleeding. A speculum examination in the maternity unit confirms pooling of liquor in the posterior fornix. Her temperature is 36.8°C and the fetal heart rate is 140 bpm. Which is the single most appropriate initial management?

Accepted Answer

Admit for observation, commence erythromycin, and administer corticosteroids

Answer

Induce labour immediately

Answer

Prescribe co-amoxiclav orally and manage as outpatient

Answer

Perform amniocentesis to confirm rupture of membranes

Answer

Arrange elective caesarean section within 24 hours

uk-drcog MCQ (SBA): Preterm Prelabour Rupture of Membranes