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Premature Rupture of Membranes (PROM): While PROM can occur before term, there is limited understanding regarding its effects on late preterm babies. Research from the past decade indicates increased morbidity and mortality amongst late preterm infants that were exposed to premature rupture. It's vital for caregivers to recognize this risk, especially when a pregnant woman presents at term in active labor but without prior PROM diagnosis.
Intrapartum Management: Late preterm babies exposed to PROM tend to experience increased admission and NICU time due to the need for observation for potential infection or related complications. They also typically have prolonged hospital stays due to the necessity of ongoing monitoring for sepsis, hypoglycemia, jaundice, and the like.
Post-Delivery Care: The immediate post-delivery care should concentrate on keeping the infant as warm as possible while conducting basic assessments and interventions, including neonatal resuscitation if required. Caregivers must also be diligent about documenting any significant observations.
It's worth noting that these are relatively standard practices for caring for newborns who experience complications, but there may be variations based on local protocols or patient-specific requirements. How do different care settings vary in terms of PROM-related policies and newborn care?
Intrapartum Management: Late preterm babies exposed to PROM tend to experience increased admission and NICU time due to the need for observation for potential infection or related complications. They also typically have prolonged hospital stays due to the necessity of ongoing monitoring for sepsis, hypoglycemia, jaundice, and the like.
Post-Delivery Care: The immediate post-delivery care should concentrate on keeping the infant as warm as possible while conducting basic assessments and interventions, including neonatal resuscitation if required. Caregivers must also be diligent about documenting any significant observations.
It's worth noting that these are relatively standard practices for caring for newborns who experience complications, but there may be variations based on local protocols or patient-specific requirements. How do different care settings vary in terms of PROM-related policies and newborn care?