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Preterm prelabour rupture of membranes — DRCOG MCQ

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ModerateAntenatal CarePreterm prelabour rupture of membranesDRCOG

A 25-year-old woman at 32 weeks' gestation describes a sudden gush of clear fluid followed by continuous leaking. She has no contractions and feels well. Fetal movements are present. What is the most appropriate management?

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Correct answer: D — Refer immediately to maternity triage for assessment

Suspected preterm prelabour rupture of membranes needs same-day maternity assessment because of risks of infection, preterm birth and cord complications. Digital vaginal examination should be avoided unless in active labour because it increases infection risk. Reassurance based on clear fluid is unsafe. Management may include confirmation testing, fetal assessment, antibiotics and steroids depending on gestation.

Reference: NICE NG25; NICE NG201