Is the risk of infection high with premature rupture of membranes?

Written by Zhao Li Li

Obstetrics

Updated on September 04, 2024

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In general, after premature rupture of membranes, there is still a significant risk of intrauterine infection. Normally, after premature rupture of membranes, it is necessary to clearly determine whether the development size of the embryo inside the uterine cavity is mature, as well as the specific amount of premature rupture of membranes and vaginal discharge. If the rupture of membranes is severe and there is a large amount of amniotic fluid flowing out of the vagina, it generally may lead to a reduction in amniotic fluid and significantly increase the risk of infection. After confirming premature rupture of membranes, it is necessary to actively use antibiotics for symptomatic treatment to prevent infections, promote fetal lung maturity inside the uterine cavity, and reduce the risk of delayed lung function development in the fetus after childbirth.

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Written by Du Rui Xia

Obstetrics

1min 4sec

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What should I do if the membranes rupture prematurely?

If it occurs before the baby is full-term and there is premature rupture of membranes, efforts should be made to preserve the pregnancy and prolong its duration. It is necessary to rest in bed, maintain cleanliness of the external genitalia, and closely monitor the condition of vaginal discharge, contractions, and whether the mother has any infections. If more than 12 hours have passed since the rupture of membranes, antibiotics should be administered to prevent infection, which can help prevent neonatal pneumonia and also reduce the occurrence of intracranial hemorrhage in the baby, as well as decrease the incidence of chorioamnionitis and postpartum endometritis. Medications that inhibit uterine contractions should be used if contractions occur. Additionally, medications that promote the maturation of the fetal lungs should be used to prevent preterm birth, which can lead to breathing difficulties.

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Written by Liu Wen Li

Obstetrics

45sec

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Premature rupture of membranes is what symptom?

Premature rupture of membranes occurs when the amniotic sac breaks before regular contractions start. The most obvious symptom of this condition is vaginal discharge, which is involuntary, meaning it cannot be controlled, and the amount of fluid discharged is typically greater than normal vaginal discharge. Often, the fluid released after water breaking is clearer and thinner than normal vaginal discharge, which is typically thicker. The fluid can be colorless and transparent, indicating clarity, but it might appear slightly yellow if the amniotic fluid is not in good condition. Therefore, with these symptoms, it is important to seek medical attention to determine if the water has broken.

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Written by Zhao Li Li

Obstetrics

57sec

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Is the risk of infection high with premature rupture of membranes?

In general, after premature rupture of membranes, there is still a significant risk of intrauterine infection. Normally, after premature rupture of membranes, it is necessary to clearly determine whether the development size of the embryo inside the uterine cavity is mature, as well as the specific amount of premature rupture of membranes and vaginal discharge. If the rupture of membranes is severe and there is a large amount of amniotic fluid flowing out of the vagina, it generally may lead to a reduction in amniotic fluid and significantly increase the risk of infection. After confirming premature rupture of membranes, it is necessary to actively use antibiotics for symptomatic treatment to prevent infections, promote fetal lung maturity inside the uterine cavity, and reduce the risk of delayed lung function development in the fetus after childbirth.

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Written by Zhang Lu

Obstetrics

1min 16sec

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How to prevent premature rupture of membranes

Premature rupture of membranes is a common complication during pregnancy. Although it is not very severe, it can easily lead to premature delivery and intrauterine infection. If the premature rupture of membranes is not treated promptly, it can also lead to fetal death in utero or cause severe infection in the mother. Prevention is generally emphasized for premature rupture of membranes. First, it is important to prevent vaginal inflammation, as if vaginal inflammation occurs and is not treated promptly, these inflammations can cause infection of the membranes, which then leads to membrane rupture. Second, it is necessary to control uterine contractions. If the intensity of the contractions is very strong, medication should be used early to suppress the contractions, to minimize the exogenous pressure on the membranes. Third, attention should be paid to controlling the amount of amniotic fluid. If there is an excessive amount of amniotic fluid, it is important to carefully look for the causes and intervene. Excessive amniotic fluid can produce high endogenous pressure on the membranes, which also makes them more likely to rupture prematurely. (Please consult a professional physician for medication guidance and do not medicate blindly.)

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Written by Zhao Li Li

Obstetrics

54sec

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Can you walk with premature rupture of membranes?

In general, if premature rupture of membranes has already occurred, it is normally necessary to rest, avoiding standing and walking. Premature rupture of membranes mainly refers to the situation where the water breaks before the onset of labor pains. This means that the membranes have ruptured and amniotic fluid may leak out at any time. Standing or walking can easily lead to continuous leakage of amniotic fluid, resulting in a reduction of the fluid or prolapse of the umbilical cord due to the leakage. If the prolapsed umbilical cord causes compressive symptoms, the fetus can quickly die within the uterine cavity. Therefore, after confirming premature rupture of membranes, it is necessary to rest in bed with the buttocks elevated and closely monitor specific fetal heart changes.