Full-term premature rupture of membranes, onset of labor more than 24 hours following rupture Save

Full-term Premature Rupture of Membranes: Onset of Labor More Than 24 Hours Following Rupture

Full-term premature rupture of membranes (PROM) refers to the rupture of the amniotic sac before the onset of labor at term, which is considered to be between 37 and 42 weeks of gestation. When labor does not begin within 24 hours of the membrane rupture, it is known as prolonged PROM.

Causes:

1. Previous history of PROM
2. Uterine infection
3. Smoking during pregnancy
4. Preterm PROM in previous pregnancies
5. Multiple pregnancies

Signs and Symptoms:

When a woman experiences full-term PROM, she may notice a sudden gush or a slow leakage of clear fluid from her vagina. This is often accompanied by a feeling of wetness. It is important to note that the fluid should be odorless and not have any color. If the fluid is foul-smelling or discolored, it may indicate an infection and immediate medical attention is necessary.

Complications:

1. Infection: Prolonged PROM increases the risk of infection for both the mother and the baby.
2. Preterm birth: If labor does not start spontaneously after 24 hours, the risk of preterm birth increases.
3. Placental abruption: There is a small risk of the placenta detaching from the uterine wall prematurely.

Management and Monitoring:

Once full-term PROM is diagnosed, healthcare providers will closely monitor the mother and the baby for signs of infection and other complications. Regular assessments of fetal well-being, including fetal heart rate monitoring, will be performed. In some cases, antibiotics may be administered to reduce the risk of infection.

Conclusion:

Full-term premature rupture of membranes with onset of labor more than 24 hours following the rupture requires careful monitoring to ensure the health and safety of both the mother and the baby. If you experience any signs of PROM, it is important to seek medical attention promptly to minimize potential risks and complications.