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Previable Preterm Premature ROM

OB

Body

#Previable PPROM: PPROM occurred at ***. The patient was counseled about expectant management vs. IOL.
She elected for ***expectant management with planned admission at 22w5d.
***No signs or symptoms of infection present.
- Latency abx: ***ampicillin and azithromycin
- Betamethasone: ***first dose ; ***second dose

#FWB: FHT present
- ***ICN consult
- *** repeat growth scan

#Dispo: Admit to antepartum service for expectant management at 22w5d until 34w0d.
Plan to deliver early for labor, abruption, chorioamnionitis or NRFHT.
- Current presentation: ***
- Plan for delivery *** VD vs CSD

Yellow *** markers = placeholders you fill in or delete per case.

Hannah Kelly, MD (compiled from prior Duke residents) · last reviewed 2026-07