Prelabor rupture of membranes: Difference between revisions
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== Prelabor Rupture of Membranes (PROM) == | |||
'''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. | '''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. | ||
[[File:Amniotic sac.jpg|left|thumb|Amniotic sac]] | [[File:Amniotic sac.jpg|left|thumb|Amniotic sac]] | ||
Latest revision as of 12:20, 12 April 2025
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| Prelabor rupture of membranes | |
|---|---|
 | |
| Synonyms | PROM, Premature rupture of membranes |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Vaginal discharge, leakage of fluid, wetness |
| Complications | Infection, preterm birth, umbilical cord prolapse |
| Onset | Pregnancy |
| Duration | Until delivery |
| Types | N/A |
| Causes | Spontaneous |
| Risks | Infection, preterm labor, placental abruption |
| Diagnosis | Speculum examination, Fern test, Nitrazine test |
| Differential diagnosis | Urinary incontinence, vaginal infection |
| Prevention | Prenatal care, avoiding infections |
| Treatment | Induction of labor, antibiotics |
| Medication | Antibiotics |
| Prognosis | Generally good with treatment |
| Frequency | Occurs in about 8-10% of pregnancies |
| Deaths | N/A |
Prelabor Rupture of Membranes (PROM)[edit]
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.
Introduction[edit]
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]
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]
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]
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]
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.
