PROM

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PREMATURE RUPTURE OF MEMBRANES

Premature rupture of membranes (PROM) is a rupture (breaking open) of the membranes (amniotic sac) before labor begins. If PROM occurs before 37 weeks of pregnancy, it is called preterm premature rupture of membranes (PPROM). : 

Premature rupture of membranes (PROM) is a rupture (breaking open) of the membranes (amniotic sac) before labor begins. If PROM occurs before 37 weeks of pregnancy, it is called preterm premature rupture of membranes (PPROM).

WHAT CAUSES PREMATURE RUPTURE OF MEMBRANES?RUPTURE OF THE MEMBRANES NEAR THE END OF PREGNANCY (TERM) MAY BE CAUSED BY A NATURAL WEAKENING OF THE MEMBRANES OR FROM THE FORCE OF CONTRACTIONS. BEFORE TERM, PPROM IS OFTEN DUE TO AN INFECTION IN THE UTERUS. OTHER FACTORS THAT MAY BE LINKED TO PROM INCLUDE THE FOLLOWING:LOW SOCIOECONOMIC CONDITIONS SEXUALLY TRANSMITTED INFECTIONS SUCH AS CHLAMYDIA AND GONORRHEAPREVIOUS PRETERM BIRTHVAGINAL BLEEDINGCIGARETTE SMOKING DURING PREGNANCYUNKNOWN CAUSES : 

WHAT CAUSES PREMATURE RUPTURE OF MEMBRANES?RUPTURE OF THE MEMBRANES NEAR THE END OF PREGNANCY (TERM) MAY BE CAUSED BY A NATURAL WEAKENING OF THE MEMBRANES OR FROM THE FORCE OF CONTRACTIONS. BEFORE TERM, PPROM IS OFTEN DUE TO AN INFECTION IN THE UTERUS. OTHER FACTORS THAT MAY BE LINKED TO PROM INCLUDE THE FOLLOWING:LOW SOCIOECONOMIC CONDITIONS SEXUALLY TRANSMITTED INFECTIONS SUCH AS CHLAMYDIA AND GONORRHEAPREVIOUS PRETERM BIRTHVAGINAL BLEEDINGCIGARETTE SMOKING DURING PREGNANCYUNKNOWN CAUSES

In addition to a complete medical history and physical examination, PROM may be diagnosed in several ways, including the following:an examination of the cervix testing of the pH (acid or alkaline) of the fluidlooking at the dried fluid under a microscope ultrasound - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels. : 

In addition to a complete medical history and physical examination, PROM may be diagnosed in several ways, including the following:an examination of the cervix testing of the pH (acid or alkaline) of the fluidlooking at the dried fluid under a microscope ultrasound - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.

Possible Nursing Diagnoses:Risk for infection related to preterm rupture of membranes without accompanying labor. Knowledge deficit. Anxiety related to outcome of labor. Risk for fetal injury related to preterm birth. : 

Possible Nursing Diagnoses:Risk for infection related to preterm rupture of membranes without accompanying labor. Knowledge deficit. Anxiety related to outcome of labor. Risk for fetal injury related to preterm birth.

Management:-bed rest either in the hospital or at home setting-monitor for signs of infection such as fever, pain, increased fetal heart rate, and/or laboratory tests.-giving the mother corticosteroids that may help mature the lungs of the fetus.-avoid vaginal exams to prevent introduction of microorganisms-administer antibiotics-administer tocolytics to stop preterm labor.-prepare for possible immediate delivery. : 

Management:-bed rest either in the hospital or at home setting-monitor for signs of infection such as fever, pain, increased fetal heart rate, and/or laboratory tests.-giving the mother corticosteroids that may help mature the lungs of the fetus.-avoid vaginal exams to prevent introduction of microorganisms-administer antibiotics-administer tocolytics to stop preterm labor.-prepare for possible immediate delivery.

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