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Pre-Eclampsia

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PPROM : complications<br />

• Fetal complications<br />

– Infection<br />

– <strong>Pre</strong>maturity<br />

• Maternal complications<br />

– Chorioamnionitis<br />

– Endomyometritis<br />

– Operative intervention<br />

Dr. Marc Coppens<br />

Corticosteroids in PTL<br />

• Effectively reduce RDS, IVH,and infant<br />

mortality at 24-34 weeks gestation<br />

• Criteria: 24-34 weeks gestation +<br />

– No contraindication to 24-48 h delay in delivery<br />

– No contraindication to steroids<br />

• Betamethasone 12 mg IM, 2 doses, 24 h<br />

apart<br />

• Dexamethasone 6 mg IM, 4 doses, 12 hours<br />

apart<br />

Dr. Marc Coppens<br />

43

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