PPROM < 32 weeks !!! What to do?? How to accelerate ?? By syntocion or misoprostol?? Oxytocics (cerviprime/Misoprostol) by Vaginal route drugs efficacy ?? Plan B-2 : Act on admission by oral misoprostol as vaginal route it may washed away by L amnii. Oral misoprostol on admission:-: No waiting : To go ahead with oral misoprostol: (instead of smearing the Cervix with Cerviprime gel—because in case frank leak one is not sure whether Gel will be washed as she coughs/sneezes) .AS such one can decide for oral misoprostol solution. Take a tab of 200 ug to be dissolved in 200 ml water. Ask her to drink 25 ml two hourly oral solution for four to 5 doses. To repeat p v exam and augment accordingly. This oral misoprostol works well and decreases the amount of repeated P V .To reassess after about 12 hrs
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