Prelabor rupture of membranes
Prelabor Rupture of Membranes (PROM)[edit | edit source]
Prelabor Rupture of Membranes (PROM), previously referred to as premature rupture of membranes, is a medical condition involving the breakage of the Amniotic sac before the onset of labor in pregnancy. It is characterized by a painless release of amniotic fluid, either as a sudden gush or steady leakage, from the vagina.
Overview[edit | edit source]
PROM occurs when the amniotic sac, which houses and protects the fetus during pregnancy, ruptures prematurely. This can happen hours or even days before labor begins.
Symptoms[edit | edit source]
The primary symptom is a painless gush or a continuous leakage of fluid from the vagina. This fluid is usually clear and odorless.
Complications[edit | edit source]
Complications associated with PROM can affect both the baby and the mother:
- For the baby: Premature birth, umbilical cord compression, and increased risk of infection.
- For the mother: Increased risk of Placental abruption and postpartum Endometritis.
Diagnosis[edit | edit source]
Diagnosis of PROM involves a physical examination and tests to confirm the presence of amniotic fluid. These tests may include:
- Nitrazine paper test
- Ferning test
- Ultrasound to assess the amniotic fluid level
Management and Treatment[edit | edit source]
The management of PROM depends on the gestational age of the fetus and the presence of any complications:
- Monitoring for signs of labor and infection.
- In some cases, inducing labor if deemed necessary.
- Administration of antibiotics to prevent infection.
- Steroids may be given to help mature the baby's lungs if premature delivery is likely.
External Links[edit | edit source]
- March of Dimes: Premature Rupture of Membranes
- American College of Obstetricians and Gynecologists: Premature Rupture of Membranes
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