Premature rupture of membranes
Abbreviated PROM, membrane rupture 1 or more hours before the onset of labor
Preterm PROM (PPROM): rupture of the membranes before the onset of labor in a preterm gestation
Spontaneous break or tear in the amniotic sac before onset of regular contractions, resulting in progressive cervical dilation
AlertThe mother is at risk for chorioamnionitis if the latent period (time between rupture of membranes and onset of labor) is longer than 24 hours. Signs include fetal tachycardia, maternal fever, foul-smelling amniotic fluid, and uterine tenderness. Development of chorioamnionitis can lead to sepsis and death. The risk of development increases exponentially after 18 hours of ruptured membranes without delivery.
Increased risks of fetal infection, sepsis, and perinatal mortality; risks increase with every hour of ruptured membranes, every hour of labor, and every vaginal examination or other invasive procedure
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
