PREMATURE RUPTURE OF MEMBRANES (PROM) Lin Qi De
PREMATURE RUPTURE OF MEMBRANES (PROM) Lin Qi De
Definition PROM is defined as the rupture of the chorioamniotic membrane before the onset of labor
Definition PROM is defined as the rupture of the chorioamniotic membrane before the onset of labor
Incidence PRoM occurs in about 10%oN15% of all delivery ProM is associated with 10% of term pregnancy
Incidence ▪PROM occurs in about 10%~15% of all delivery ▪PROM is associated with 10% of term pregnancy
Cause of prom Trauma(abdominal striked intensely) Sexual intercourse (particularly in the late gestational weeks) Vaginal infection due to bacte、wrs、70XO、CwV、HPV and aset al Smoking
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
Other >Prior Prom >a short cervical length >Prior preterm delivery Bleeding in early pregancy
▪ Other : ➢Prior PROM ➢A short cervical length ➢Prior preterm delivery ➢Bleeding in early pregancy
Affect of prom on the mothers and infants o Mothers (iNfection intrauterine puerperal (2)Placental abruption (3)Preterm delivery
Affect of PROM on the mothers and infants Mothers: (1) Infection : intrauterine puerperal (2) Placental abruption (3) Preterm delivery
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
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
Clinical manifestation (1 Fluid passing through the vagina suddenly and then small amounts of fluid flow through the vagina intermitently, particularly when the le increased of abdorminal pressure(cough, sneeze et al)
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)
(2)Free flowing amniotic fluid (3)Fever heart rate of mother and infants↑/ WBC and crp↑/ Uterine tenderness on palpation
(2) Free flowing amniotic fluid (3) Fever / heart rate of mother and infants ↑ / WBC and CRP ↑/ Uterine tenderness on palpation
Diagnosis (1 Vaginal speculum exam leakage of amniotic fluid (2 )PH determination of vaginal fluid (3)The"fern"test (4)Aminoscopy
Diagnosis (1) Vaginal speculum exam.: leakage of amniotic fluid (2) PH determination of vaginal fluid (3) The “fern” test (4) Aminoscopy
