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Suggested minimum criteria for home management of PPROM

Suggested minimum criteria for home management of PPROM
Reliable patient
Dependable transportation and telephone service
Lives near hospital
Evaluation in hospital for 72 hours before discharge home
Patient to check pulse and temperature every 6 hours and notify clinician if temperature >98.6°F (37°C) or pulse >100 beats/minute
Fetal kick counts daily and notify clinician if fewer than 10 fetal movements in a 2-hour period
Nonstress test and complete blood count twice a week
Weekly ultrasound
Cephalic presentation
No evidence of infection or labor
Presence of a vertical amniotic fluid pocket >2 cm on ultrasound
PPROM: preterm prelabor rupture of membranes.
Data from: Bartfield MC, Carlan SJ. The home management of preterm premature ruptured membranes. Clin Obstet Gynecol 1998; 41:503.
Graphic 55156 Version 9.0

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