Infections such as
bacterial vaginosis Previous history of PROM
Short cervical length
Smoking during pregnancy
Multiple gestations (twins, triplets, etc.)
Polyhydramnios (excessive amniotic fluid)
What are the Symptoms of PROM?
The most common symptom of PROM is a sudden gush or a slow leak of clear or pale yellow amniotic fluid from the vagina. Other symptoms may include:
Vaginal discharge that is continuous and watery
Pelvic pressure
Intermittent or continuous lower abdominal pain
A thorough clinical history and physical examination
Speculum examination to visually confirm the presence of amniotic fluid
Tests such as
Nitrazine paper test (to check pH), Ferning test, and
AmniSure (a rapid immunoassay)
Ultrasound to assess amniotic fluid volume
Intrauterine infection (chorioamnionitis)
Preterm labor and
preterm birth Umbilical cord prolapse
Placental abruption
Fetal distress
Expectant management with close monitoring for signs of infection or labor
Administration of antibiotics to prevent infection
Corticosteroids to accelerate fetal lung maturity if PROM occurs before 34 weeks of gestation
Delivery if there are signs of infection, fetal distress, or if the pregnancy is at term
What is the Prognosis for PROM?
The prognosis varies depending on several factors, including the gestational age at the time of PROM and how promptly medical intervention is provided. With appropriate management, many pregnancies can continue to term without significant complications.
When Should You Seek Medical Attention?
Immediate medical attention is necessary if you experience symptoms of PROM, such as a sudden gush of fluid from the vagina, persistent leaking of fluid, or any signs of infection like fever, foul-smelling discharge, or severe abdominal pain.
For more information, consult your healthcare provider or visit reputable medical websites for detailed guidance on managing PROM.
