Document Detail


Nursing care of the patient with preterm premature rupture of membranes.
MedLine Citation:
PMID:  15123969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preterm premature rupture of the membranes (PPROM) is diagnosed when rupture of the amniotic membranes occurs prior to the completion of the 36th week of gestation. PPROM accounts for 25% of all cases of premature rupture of the membranes and is responsible for 30%-40% of all preterm deliveries. In mothers diagnosed with PPROM without evidence of infection, active labor, or fetal compromise, the current standard of care is expectant management. The goal of expectant management is the prolongation of the pregnancy to increase fetal gestational age thus potentially decreasing the effects of prematurity. Expectant management consists of ongoing observation for signs and symptoms of infection, active labor, and/or nonreassuring fetal status. This article provides clinical nursing guidelines for the mother diagnosed with PPROM who is managed expectantly. Eight targeted areas for nursing assessment and intervention are described: preterm labor, side effects of tocolytic therapy, maternal/fetal infection, fetal compromise, side effects of extended bed rest, maternal stress, educational needs, and routine prenatal care.
Authors:
Marilyn Stringer; Susan R Miesnik; Linda Brown; Allison H Martz; George Macones
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  MCN. The American journal of maternal child nursing     Volume:  29     ISSN:  0361-929X     ISO Abbreviation:  MCN Am J Matern Child Nurs     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2004-05-04     Completed Date:  2004-06-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7605941     Medline TA:  MCN Am J Matern Child Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  144-50     Citation Subset:  IM; N    
Affiliation:
School of Nursing, University of Pennsylvania, Philadelphia, USA. Stringer@nursing.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Membranes, Premature Rupture / nursing*,  prevention & control
Humans
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control
Nurse's Role*
Nurse-Patient Relations*
Nursing Assessment / methods
Obstetric Labor, Premature / nursing*,  prevention & control
Pregnancy
Prenatal Care / standards
Tocolysis / nursing*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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