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Ruptura Prematura de
Membranas(RPM)
MIP. Heralid Gissell Alvarez Mayo
Contenido
01
Definición
03
Diagnosis
Here you could describe
the topic of the section
02
Factores de Riesgo
04
Treatment
Here you could describe
the topic of the section
05
Patient Monitoring
Here you could describe
the topic of the section
Definición
Pérdida de la continuidad de las membranas amnióticas con salida de liquido amniótico
transvaginal que se presenta antes del inicio del trabajo de parto.
● Ruptura de Membranas a término: después de las 37 SDG.
● Ruptura de Membranas pre-término: antes de las 37 SDG.
○ Previable (<23 SDG)
○ Remota del término (24-32 SDG)
○ Cercana del término (33-36 SDG)
Factores que incrementan el riesgo
Infecciones del tracto reproductivo materno:
- Vaginitis bacteriana por tricomonas, gonorrea, clamydia y corioamnioitis oculta.
Conductuales:
- tabaquismo
- abuso de sustancias
- estado nutricional
- relaciones sexuales
Complicaciones obstétricas
- embarazo múltiple
- polihidramnios
incompetencia itsmico cervical
- cotizaciones
- hemorragias durante el embarazo
. Trauma durante el embarazo
Cambios ambientales:
presión barometica
Morbilidad del recién nacido
Síndrome de estrés
respiratorio
Hemorragia intraventicular Enterocolitis necrotizante
Persistencia del conducto
arterioso Retinopatía por sepsis
Patient Medical History
❏ Age: 25-35
❏ Gender: female
❏ Allergies: none
❏ Location: Madrid, Spain
❏ Habits: unhealthy eating,
sedentary lifestyle
2XXX
Neptune is the fourth-largest
planet by diameter in our Solar
System
2XXX
Saturn is the ringed one. It’s a
gas giant, composed mostly of
hydrogen and helium
2XXX
Venus has a beautiful name
and is the second planet from
the Sun. It’s terribly hot
Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot—even hotter than Mercury—and its
atmosphere is extremely poisonous. It’s
the second-brightest natural object in
the night sky after the Moon
Identifying Information
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing
to do with the liquid metal, since it was
named after the Roman messenger god
Venus Mercury
Diagnóstico
Especuloscopía
Con visualización
de líquido
amniótico mediante
maniobra de
Valsalva y Tarnier
Prueba de
nitrazina
USG
Útil para la
cuantificación del
liquido amniótico.
Fibronectina
fetal
Cristalografía
Physical Examination
Mars
78%
Mars is a cold place
full of iron oxide
dust, which gives the
planet its reddish
cast
Mercury
62%
Mercury is the
closest planet to the
Sun and the smallest
one our the Solar
System
Venus
36%
Venus has a beautiful
name and is the
second planet from
the Sun. It’s terribly
hot
Saturn
12%
Yes, Saturn is the
ringed one. It’s a gas
giant, composed
mostly of hydrogen
and helium
Neptune
45%
To change the size of
the graph, click the
arc of the circle and
drag one of the
orange handles
Results
Mercury is the closest planet to the Sun
and the smallest one in the Solar System—
it’s only a bit larger than our Moon. The
planet’s name has nothing to do with the
liquid metal, since it was named after the
Roman messenger god
4,497,374
Big numbers catch your audience’s attention
Findings
Evolution Prevalence
200,000,000
Big number
If you want to modify this graph, click on it,
follow the link, change the data and replace it
Saturn
12%
Pluto
32%
Mars
32%
Venus
24%
Discussion
02
You could enter a subtitle here if you need it
Discussions
“Neptune is the farthest planet from the Sun
and the fourth-largest in our Solar System’’ Dr. John Doe
“Venus has a beautiful name and is the
second planet from the Sun. It’s terribly hot’’ Dr. Jenna James
“Mercury is the closest planet to the Sun
and the smallest one in our Solar System’’ Dr. Daniel Patterson
Discussions Summary
01
Venus has a beautiful name and is the second
planet from the Sun. It’s terribly hot and its
atmosphere is extremely poisonous
02
Jupiter is a gas giant and the biggest planet in
our Solar System. It’s also the fourth-brightest
object in the sky
03
Mercury is the closest planet to the Sun and
also the smallest one in our Solar System. It’s
only a bit larger than our Moon
Diagnosis
03
You could enter a subtitle here if you need it
Diagnosis
Neptune
Neptune is the fourth-largest
planet by diameter in our Solar
System
Saturn
Saturn is the ringed one. It’s a
gas giant, composed mostly of
hydrogen and helium
Venus
Venus has a beautiful name
and is the second planet from
the Sun. It’s terribly hot
Mercury
Mercury is the closest planet
to the Sun and the smallest
one in our Solar System
Mars
Despite being red, Mars is
actually a cold place. It’s full of
iron oxide dust
Jupiter
It’s the fourth-brightest object
in the sky and the biggest
planet in our Solar System
Comparison
01 02 03 04
Saturn
Venus
Jupiter
Pluto
Treatment
04
You could enter a subtitle here if you need it
Treatment
Week 1
Mars is full of iron oxide
dust, which gives the
planet its reddish cast
Week 3
Venus has a beautiful
name and is the second
planet from the Sun
Week 2
Saturn is the ringed one.
It’s a gas giant, composed
of hydrogen and helium
Week 4
Jupiter is a gas giant and
the biggest planet in our
Solar System
A Picture Always
Reinforces the
Concept
A Picture Is
Worth a
Thousand
Words
Patient Monitoring
05
You could enter a subtitle here if you need it
Patient Monitoring
Week 1 Week 2
Week 3
Venus has a beautiful name and is
the second planet from the Sun
To change the size of the graph, click the circle and drag the colored handle
Mercury is the
closest planet to
the Sun
Venus
Mars
Saturn
Pluto
Venus Mars Saturn Pluto
Venus
Mars
Saturn
Pluto
Contraindications - Indications
Jupiter is a gas giant and
the fourth-brightest object
in the sky
Saturn is the ringed one. It’s
a gas giant, composed of
hydrogen and helium
Venus has a beautiful name
and is the second planet
from the Sun
Mercury is the closest
planet to the Sun and the
smallest in our Solar System
Neptune is the fourth-
largest planet in our Solar
System
Despite being red, Mars is
actually a cold place. It’s full
of iron oxide dust
Pluto is in the Kuiper belt
and is considered a dwarf
planet since 2006
Ceres is a dwarf planet and
the biggest object in the
asteroid belt
Post-prevention
Jupiter
Jupiter is a gas giant
and the biggest planet
in our Solar System
Neptune
Neptune is the fourth-
largest planet in our
Solar System
Venus is terribly hot
and its atmosphere is
extremely poisonous
Venus
Mercury Mercury is the smallest
planet in our Solar
System
Saturn It’s a gas giant,
composed mostly of
hydrogen and helium
Despite being red,
Mars is actually a cold
place
Mars
Case Timeline
Phase 1
Neptune is the fourth-
largest planet in our Solar
System
Phase 2
Saturn is the ringed one.
It’s a gas giant, composed
of hydrogen and helium
Phase 3
Venus has a beautiful
name and is the second
planet from the Sun
Phase 4
Mars is full of iron oxide
dust, which gives the
planet its reddish cast
Conclusions
Mercury is the closest planet to the
Sun and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing
to do with the liquid metal, since it
was named after the Roman
messenger god, Mercury
References
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
● AUTHOR (YEAR). Title of the publication. Publisher
Our Team
John Doe
Here you can talk a bit
about this person
Jenna Patterson
Here you can talk a bit
about this person
Helena James
Here you can talk a bit
about this person
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Ruptura prematura de membranas/ RPM/ expocisión

  • 1. Ruptura Prematura de Membranas(RPM) MIP. Heralid Gissell Alvarez Mayo
  • 2. Contenido 01 Definición 03 Diagnosis Here you could describe the topic of the section 02 Factores de Riesgo 04 Treatment Here you could describe the topic of the section 05 Patient Monitoring Here you could describe the topic of the section
  • 3. Definición Pérdida de la continuidad de las membranas amnióticas con salida de liquido amniótico transvaginal que se presenta antes del inicio del trabajo de parto. ● Ruptura de Membranas a término: después de las 37 SDG. ● Ruptura de Membranas pre-término: antes de las 37 SDG. ○ Previable (<23 SDG) ○ Remota del término (24-32 SDG) ○ Cercana del término (33-36 SDG)
  • 4. Factores que incrementan el riesgo Infecciones del tracto reproductivo materno: - Vaginitis bacteriana por tricomonas, gonorrea, clamydia y corioamnioitis oculta. Conductuales: - tabaquismo - abuso de sustancias - estado nutricional - relaciones sexuales Complicaciones obstétricas - embarazo múltiple - polihidramnios incompetencia itsmico cervical - cotizaciones - hemorragias durante el embarazo . Trauma durante el embarazo Cambios ambientales: presión barometica
  • 5. Morbilidad del recién nacido Síndrome de estrés respiratorio Hemorragia intraventicular Enterocolitis necrotizante Persistencia del conducto arterioso Retinopatía por sepsis
  • 6. Patient Medical History ❏ Age: 25-35 ❏ Gender: female ❏ Allergies: none ❏ Location: Madrid, Spain ❏ Habits: unhealthy eating, sedentary lifestyle 2XXX Neptune is the fourth-largest planet by diameter in our Solar System 2XXX Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium 2XXX Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot
  • 7. Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot—even hotter than Mercury—and its atmosphere is extremely poisonous. It’s the second-brightest natural object in the night sky after the Moon Identifying Information Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than our Moon. The planet’s name has nothing to do with the liquid metal, since it was named after the Roman messenger god Venus Mercury
  • 8. Diagnóstico Especuloscopía Con visualización de líquido amniótico mediante maniobra de Valsalva y Tarnier Prueba de nitrazina USG Útil para la cuantificación del liquido amniótico. Fibronectina fetal Cristalografía
  • 9. Physical Examination Mars 78% Mars is a cold place full of iron oxide dust, which gives the planet its reddish cast Mercury 62% Mercury is the closest planet to the Sun and the smallest one our the Solar System Venus 36% Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot Saturn 12% Yes, Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium Neptune 45% To change the size of the graph, click the arc of the circle and drag one of the orange handles
  • 10. Results Mercury is the closest planet to the Sun and the smallest one in the Solar System— it’s only a bit larger than our Moon. The planet’s name has nothing to do with the liquid metal, since it was named after the Roman messenger god
  • 11. 4,497,374 Big numbers catch your audience’s attention
  • 12. Findings Evolution Prevalence 200,000,000 Big number If you want to modify this graph, click on it, follow the link, change the data and replace it Saturn 12% Pluto 32% Mars 32% Venus 24%
  • 13. Discussion 02 You could enter a subtitle here if you need it
  • 14. Discussions “Neptune is the farthest planet from the Sun and the fourth-largest in our Solar System’’ Dr. John Doe “Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot’’ Dr. Jenna James “Mercury is the closest planet to the Sun and the smallest one in our Solar System’’ Dr. Daniel Patterson
  • 15. Discussions Summary 01 Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot and its atmosphere is extremely poisonous 02 Jupiter is a gas giant and the biggest planet in our Solar System. It’s also the fourth-brightest object in the sky 03 Mercury is the closest planet to the Sun and also the smallest one in our Solar System. It’s only a bit larger than our Moon
  • 16. Diagnosis 03 You could enter a subtitle here if you need it
  • 17. Diagnosis Neptune Neptune is the fourth-largest planet by diameter in our Solar System Saturn Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium Venus Venus has a beautiful name and is the second planet from the Sun. It’s terribly hot Mercury Mercury is the closest planet to the Sun and the smallest one in our Solar System Mars Despite being red, Mars is actually a cold place. It’s full of iron oxide dust Jupiter It’s the fourth-brightest object in the sky and the biggest planet in our Solar System
  • 18. Comparison 01 02 03 04 Saturn Venus Jupiter Pluto
  • 19. Treatment 04 You could enter a subtitle here if you need it
  • 20. Treatment Week 1 Mars is full of iron oxide dust, which gives the planet its reddish cast Week 3 Venus has a beautiful name and is the second planet from the Sun Week 2 Saturn is the ringed one. It’s a gas giant, composed of hydrogen and helium Week 4 Jupiter is a gas giant and the biggest planet in our Solar System
  • 22. A Picture Is Worth a Thousand Words
  • 23. Patient Monitoring 05 You could enter a subtitle here if you need it
  • 24. Patient Monitoring Week 1 Week 2 Week 3 Venus has a beautiful name and is the second planet from the Sun To change the size of the graph, click the circle and drag the colored handle Mercury is the closest planet to the Sun Venus Mars Saturn Pluto Venus Mars Saturn Pluto Venus Mars Saturn Pluto
  • 25. Contraindications - Indications Jupiter is a gas giant and the fourth-brightest object in the sky Saturn is the ringed one. It’s a gas giant, composed of hydrogen and helium Venus has a beautiful name and is the second planet from the Sun Mercury is the closest planet to the Sun and the smallest in our Solar System Neptune is the fourth- largest planet in our Solar System Despite being red, Mars is actually a cold place. It’s full of iron oxide dust Pluto is in the Kuiper belt and is considered a dwarf planet since 2006 Ceres is a dwarf planet and the biggest object in the asteroid belt
  • 26. Post-prevention Jupiter Jupiter is a gas giant and the biggest planet in our Solar System Neptune Neptune is the fourth- largest planet in our Solar System Venus is terribly hot and its atmosphere is extremely poisonous Venus Mercury Mercury is the smallest planet in our Solar System Saturn It’s a gas giant, composed mostly of hydrogen and helium Despite being red, Mars is actually a cold place Mars
  • 27. Case Timeline Phase 1 Neptune is the fourth- largest planet in our Solar System Phase 2 Saturn is the ringed one. It’s a gas giant, composed of hydrogen and helium Phase 3 Venus has a beautiful name and is the second planet from the Sun Phase 4 Mars is full of iron oxide dust, which gives the planet its reddish cast
  • 28. Conclusions Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than our Moon. The planet’s name has nothing to do with the liquid metal, since it was named after the Roman messenger god, Mercury
  • 29. References ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher ● AUTHOR (YEAR). Title of the publication. Publisher
  • 30. Our Team John Doe Here you can talk a bit about this person Jenna Patterson Here you can talk a bit about this person Helena James Here you can talk a bit about this person
  • 31. CREDITS: This presentation template was created by Slidesgo, including icons by Flaticon, and infographics & images by Freepik. Thanks Please keep this slide for attribution. Do you have any questions? youremail@freepik.com +91 620 421 838 yourcompany.com
  • 33. Resources ● Medical equipment icons ● Flat nurse team ● Flat nurse team ● Flat nurse team ● Flat nurse team ● Flat nurse team ● Hand drawn nurse team ● Health elements medical tools Vectors ● Human anatomy icon pack ● Health icon pack ● Health care icon pack Icons ● Side view smiley nurse and patient ● Nurse holding checklist Photos
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  • 39. JANUARY FEBRUARY MARCH APRIL PHASE 1 Task 1 Task 2 JANUARY FEBRUARY MARCH APRIL MAY JUNE PHASE 1 PHASE 2 Task 1 Task 2 Task 1 Task 2
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Notas del editor

  1. FR + significativos: emb. Previo con RPM/parto pretérmino previo * Disminuir las exploraciones vaginales
  2. Sospecha clínica, HC, pruebas dx 2 o + puebas +=confiabilidad del 93.1% Ph vaginal 4.5-6 y el liquido amniótico de 7.1-7.3 *falsos positivos *prueba de la flma