Premature rupture of membranes (PROM) is defined as spontaneous rupture of membranes beyond 22 weeks of pregnancy but before the onset of labor. PROM can be preterm (before 37 weeks) or term (37 weeks or later). PROM is further classified as early (rupture less than 12 hours ago) or prolonged (12 hours or more since rupture). Causes of PROM include factors that raise intrauterine pressure, cervical issues, fetal malpresentation, membrane abnormalities, and general factors like low socioeconomic status or smoking. Complications of PROM include infection, cord prolapse, fetal hypoxia, placental abruption, preterm labor, and fetal limb deformities.
Premature rupture of membranes (PROM) is defined as spontaneous rupture of membranes beyond 22 weeks of pregnancy but before the onset of labor. PROM can be preterm (before 37 weeks) or term (37 weeks or later). PROM is further classified as early (rupture less than 12 hours ago) or prolonged (12 hours or more since rupture). Causes of PROM include factors that raise intrauterine pressure, cervical issues, fetal malpresentation, membrane abnormalities, and general factors like low socioeconomic status or smoking. Complications of PROM include infection, cord prolapse, fetal hypoxia, placental abruption, preterm labor, and fetal limb deformities.
Premature rupture of membranes (PROM) is defined as spontaneous rupture of membranes beyond 22 weeks of pregnancy but before the onset of labor. PROM can be preterm (before 37 weeks) or term (37 weeks or later). PROM is further classified as early (rupture less than 12 hours ago) or prolonged (12 hours or more since rupture). Causes of PROM include factors that raise intrauterine pressure, cervical issues, fetal malpresentation, membrane abnormalities, and general factors like low socioeconomic status or smoking. Complications of PROM include infection, cord prolapse, fetal hypoxia, placental abruption, preterm labor, and fetal limb deformities.
Premature rupture of membranes (PROM) is defined as spontaneous rupture of membranes beyond 22 weeks of pregnancy but before the onset of labor. PROM can be preterm (before 37 weeks) or term (37 weeks or later). PROM is further classified as early (rupture less than 12 hours ago) or prolonged (12 hours or more since rupture). Causes of PROM include factors that raise intrauterine pressure, cervical issues, fetal malpresentation, membrane abnormalities, and general factors like low socioeconomic status or smoking. Complications of PROM include infection, cord prolapse, fetal hypoxia, placental abruption, preterm labor, and fetal limb deformities.
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Premature rupture of membranes
• Premature rupture of membranes (PROM)
is defined as a spontaneous rupture of membranes at any time beyond 22 weeks of pregnancy but before the onset of labor is called premature rupture of membrane. • Premature rupture of membranes may occur in term (37 completed weeks of gestation) called term PROM and before 37 completed weeks of gestation is called preterm PROM Classifications of PROM • PROM is classified according to the gestational age at which it occurs and the interval between rupture of the fetal membranes and the onset of true labour. • Preterm PROM occurs after 28 weeks of gestational age and before 37 weeks. • Term PROM occurs after 37 completed weeks of gestational age, including post-term cases occurring after 40 weeks. • Preterm and term PROM are further divided into: • Early PROM (less than 12 hours has passed since the rupture of fetal membranes) • Prolonged PROM (12 or more hours has passed since the rupture of fetal membranes). CAUSES 1. Factor causing a raise intrauterine pressure Multiple pregnancy Polyhydramnious Coitus in late pregnancy Trauma 2. Factors in the cervix as incompetence cervix 3. Faulty application of the presenting parts Malpresentation of fetus as footling, transverse or oblique lie Placenta previa, disproportion. 4. Abnormal membranes weakening due to infection Trauma Developmental defects 5. General factors lower socio-economic status Poor nutrition smoking Complications of PROM 1 Infection after PROM 2 Cord prolapse 3 Fetal hypoxia and asphyxia 4 Placental abruption 5 Preterm labour 6 Deformity of fetal limbs