Pre Labour Rupture of Membranes (PROM) - Antibiotic prophylaxis
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This is rupture of amniotic membranes at term before onset of labour
For full management of PROM see main Zimbabwe STG
If >24 hours or pyrexia in labour. Early delivery should be effected:
|
Medicine |
Adult Dose |
Frequency |
Duration |
|
benzylpenicillin iv |
2MU |
6 hourly |
until delivery |
and |
chloramphenicol iv |
500mg |
6 hourly |
|
and |
metronidazole iv |
500mg |
8 hourly |
until delivery |
Switch to oral antibiotics for 7 days after delivery:
|
Medicine |
Adult Dose |
Frequency |
Duration |
|
amoxicillin po |
500mg |
3 times a day |
7 days |
and |
metronidazole po |
400mg |
3 times a day |
7 days |