![]() Most women will experience a painless leakage of fluid out of the vagina. Prognosis is primarily determined by complications related to prematurity such as necrotizing enterocolitis, intraventricular hemorrhage, and cerebral palsy. Before 24 weeks PROM occurs in fewer than 1% of pregnancies. Ībout 8% of term pregnancies are complicated by PROM while about 30% of preterm births are complicated by PROM. Delivery is generally indicated in those with complications, regardless of how far along in pregnancy. Antibiotics may be given for those at risk of Group B streptococcus. A 2017 Cochrane review found waiting generally resulted in better outcomes in those before 37 weeks. In those 24 to 34 weeks of gestation without complications corticosteroids and close observation is recommended. Time may also be provided for labor to begin spontaneously. In those at or near term without any complications, induction of labor is generally recommended. Treatment is based on how far along a woman is in pregnancy and whether complications are present. If it occurs before 37 weeks it is known as PPROM ( preterm prelabor rupture of membranes) otherwise it is known as term PROM. Diagnosis is suspected based on symptoms and speculum exam and may be supported by testing the vaginal fluid or by ultrasound. Risk factors include infection of the amniotic fluid, prior PROM, bleeding in the later parts of pregnancy, smoking, and a mother who is underweight. Complications in the mother may include placental abruption and postpartum endometritis. Complications in the baby may include premature birth, cord compression, and infection. Women usually experience a painless gush or a steady leakage of fluid from the vagina. Prelabor rupture of membranes ( PROM), previously known as premature rupture of membranes, is breakage of the amniotic sac before the onset of labor. ~8% of term pregnancies, ~30% of preterm pregnancies ![]() Urinary incontinence, bacterial vaginosis īased on how far along a woman is in pregnancy and whether complications are present Suspected based on symptoms and examination, supported by testing the fluid or ultrasound Infection of the amniotic fluid, prior PROM, bleeding in the later parts of pregnancy, smoking, a mother who is underweight Mother: Placental abruption, postpartum endometritis Painless gush or a steady leakage of fluid from the vagina īaby: Premature birth, cord compression, infection Positive fern test with amniotic fluid as seen under the microscope Medical condition Prelabor rupture of membranes
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