PREMATURE RUPTURE OF MEMBRANES (PROM)

1
PREMATURE RUPTURE OF MEMBRANES
(PROM)

• Lin Qi De

2
Definition

• PROM is defined as the rupture of the
  chorioamniotic membrane before the onset of labor
  

3
Incidence

• PROM occurs in about 1015 of all delivery
• PROM is associated with 10 of term pregnancy

4
Cause of PROM

• Trauma (abdominal striked intensely)
• Sexual intercourse(particularly in the late
  gestational weeks)
• Vaginal infection
• due to bacteria?virus?TOXO?CMV?HPV and
  HSV,et al
• Smoking

5

• Other
• Prior PROM
• A short cervical length
• Prior preterm delivery
• Bleeding in early pregancy

6
Affect of PROM on the mothers and
infants

• Mothers
• (1) Infection intrauterine
• puerperal
• (2) Placental abruption
• (3) Preterm delivery

7

• Infants
• (1) Preterm Baby and their Complications
• (RDS / Fetal and Neurologic dysfunction
  
• Intracranial hemorrhage)
• (2) neonatal pneumonia?sepsis
• (3) Pulmonary hypoplasia and fetal
• compression syndrone
• (4) Prolapse or compression of umbilical
  cord
• (5) Abruptio placenta

8
Clinical manifestation

• (1) Fluid passing through the vagina suddenly,
  and then small amounts of fluid flow through the
  vagina intermitently, particularly when the
  increased of abdorminal pressure (cough,sneeze,et
  al)

9

• (2) Free flowing amniotic fluid
• (3) Fever / heart rate of mother and
• infants ? / WBC and CRP ?/ Uterine
• tenderness on palpation

10
Diagnosis

• (1) Vaginal speculum exam.
• leakage of amniotic fluid
• (2) PH determination of vaginal fluid
• (3) The