Managing Complications in Pregnancy and Childbirth: - IAWG

S-140 Prelabour rupture of membranesAMNIONITIS• Give a combination of antibiotics until delivery (page C-35):- ampicillin 2 g IV every 6 hours;- PLUS gentamicin 5 mg/kg body weight IV every 24 hours;- If the woman delivers vaginally, discontinue antibioticspostpartum;- If the woman has a caesarean section, continue antibiotics andgive metronidazole 500 mg IV every 8 hours until the woman isfever-free for 48 hours.• Assess the cervix (page P-18):- If the cervix is favourable (soft, thin, partly dilated), inducelabour using oxytocin (page P-17).- If the cervix is unfavourable (firm, thick, closed), ripen tgecervix using prostaglandins and infuse oxytocin (page P-24) ordeliver by caesarean section (page P-43).• If metritis is suspected (fever, foul-smelling vaginal discharge),give antibiotics (page S-110).• If newborn sepsis is suspected, arrange for a blood culture andantibiotics (page S-149).