Pre- term rupture of membranes

Pre- term rupture of membranes

Doctor for PPROM Treatment in Jaipur – Preterm rupture of the Membrane

What is PPROM?

Amniotic fluid is the water that surrounds your baby in the womb. Membranes or layers of tissue hold in this fluid. This membrane is called the amniotic sac. often these membranes rupture during labor.

Preterm premature rupture of the membranes (PPROM) is a pregnancy complication. In this condition, the amniotic membrane surrounding your baby ruptures before week 37 of pregnancy. Once the sac breaks, you have an increased risk for infection. You also have a higher chance of having your baby born early.

PROM occurs in about 8 to 10 percent of all pregnancies. PPROM (before 37 weeks) accounts for one fourth to one third of all preterm births.

What causes PROM?

in most cases the cause is unknown but certain risk factors may be :

  • Low socioeconomic conditions (as women in lower socioeconomic conditions are less likely to receive proper prenatal care)
  • Sexually transmitted infections, such as chlamydia and gonorrhea
  • Infections of the uterus, cervix, or vagina
  • Too much stretching of the amniotic sac (this may happen if there is too much fluid, or more than one baby putting pressure on the membranes)
  • Smoking during pregnancy
  • If you have had surgery or biopsies of the cervix
  • If you were pregnant before and had a PROM or PPROM
  • Vaginal bleeding
  • Unknown causes

Is PROM a matter of concern?

The implications are less serious when the rupture occurs near term than earlier in pregnancy. in cases of PROM complication like :

  • Chance of amniotic fluid getting infected (chorioamnionitis) and fetal infection.
  • Cord prolapse
  • Continuous escape of fluid for long duration may lead to dry labor
  • Placental abruption
  • Fetal pulmonary hypoplasia, especially in preterm PROM is a real threat when associated with oligohydramnios
  • Neonatal sepsis
  • Perinatal morbidities like cerebral palsy

Maternal complications of PROM: Chorioamnionitis, placental abruption, retained placenta, endometritis, maternal sepsis and even death.

What are the symptoms of PROM?

  • Sudden gush or leaking of fluid from vagina
  • Feeling of wetness in vagina or underwear

How is PROM diagnosed?

  • Speculum examination to inspect the fluid escaping out through the cervix
  • To examine the collected fluid from the posterior fornix
  • Detection of pH by litmus or Nitrazine paper. The pH becomes 6–6.2 (Normal vaginal pH during pregnancy is 5–5.5 whereas that of amniotic fluid is 7–7.5).
  • To note the characteristic ferning pattern when a smeared slide is examined under microscope
  • Ultrasonography is to be done not only to support the diagnosis but also to assess the fetal well being.

Treatment of PROMin Jaipur?

Specific treatment in Jaipur for PROM will be determined by your doctor based on:

  • Your pregnancy, overall health, and medical history
  • Extent of the condition
  • Your tolerance for specific medications, procedures, or therapies

Treatment for premature rupture of membranes in Jaipur may include:

  • Hospitalization for Monitoring for signs of infection, such as fever, pain, increased fetal heart rate, and/or laboratory tests.
  • Expectant management (in very few cases of PPROM, the membranes may seal over and the fluid may stop leaking without treatment, although this is uncommon unless PROM was from a procedure, such as amniocentesis, early in gestation)
  • Giving corticosteroids to the mother that may help mature the lungs of the fetus.
  • Antibiotics (to prevent or treat infections)
  • Medications used to stop preterm labor.
  • Women with PPROM usually deliver at 34 weeks if stable. If there are signs of abruption, chorioamnionitis, or fetal compromise, then early delivery would be necessary.)

Can PROM be prevented?

since the cause of PROM is unknown, there are no sure methods of prevention except for regular checkups with the doctor.

 

Dr. Mayuri Kothiwala

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