Is premature rupture of membranes dangerous?

Written by Du Rui Xia
Obstetrics
Updated on September 01, 2024
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When preterm premature rupture of membranes occurs, it can have certain impacts on both the pregnant woman and the fetus. The risks of preterm premature rupture of membranes primarily include the possibility of umbilical cord prolapse, preterm birth, or infection during pregnancy. If the presenting part of the fetus has not descended and the umbilical cord slips into the vagina, umbilical cord prolapse can easily occur, which is very dangerous and can lead to fetal hypoxia or even stillbirth. After the rupture of membranes, bacteria originally present in the vagina may take this opportunity to enter the uterus, causing chorioamnionitis or endometritis. If the infection is not controlled in time, sepsis may also occur.

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Written by Zhang Lu
Obstetrics
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Can premature rupture of membranes at 14 weeks heal?

Premature rupture of membranes refers to the rupture of the amniotic sac before labor, causing intermittent discharge of amniotic fluid. Premature rupture of membranes can occur at any stage of pregnancy, and it is generally believed in clinical practice that it is more likely to occur in the mid to late stages of pregnancy. The probability of occurrence before 20 weeks of pregnancy is relatively low. If premature rupture of membranes occurs at 14 weeks of pregnancy, once diagnosed, it is irreversible as there is currently no method to cure it. For 14-week premature rupture of membranes, an ultrasound, vaginal examination, and pH paper test should first be conducted to confirm whether it is indeed a premature rupture of membranes. If it is confirmed as a premature rupture of membranes, then the only option is to terminate the pregnancy; if it is not, the pregnancy can be continued.

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Written by Zhang Lu
Obstetrics
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Premature rupture of membranes symptoms

Premature rupture of membranes, as the name implies, refers to the clinical symptoms caused by the rupture of the amniotic sac before labor. These symptoms include the following aspects. First, there will be a leakage of amniotic fluid from the vagina, manifesting as wet pants or a wet bedsheet, which is a primary indication of premature rupture of membranes. Second, when the membranes rupture prematurely, there is often a small amount of bloody show. This is mainly because there are small capillaries on the membranes that also bleed when the membranes rupture, causing blood to mix with the amniotic fluid. Third, premature rupture of membranes often is accompanied by significant contractions, as the increase in pressure within the amniotic cavity during contractions can cause the membranes to rupture. When these situations occur, it is important to promptly go to the hospital to undergo an ultrasound and gynecological examination to confirm whether there is a premature rupture of membranes.

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Written by Yue Hua
Obstetrics and Gynecology
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The hazards of premature rupture of membranes

Premature rupture of membranes primarily affects the mother by leading to infections. Once the membranes rupture, bacteria can easily enter the uterine cavity from the vagina, causing chorioamnionitis. Additionally, it may lead to placental abruption, as the rupture of the membranes causes a decrease in abdominal tension, thus making placental abruption more likely to occur. It also leads to an increased rate of cesarean sections, because the reduction in amniotic fluid can cause irregular uterine contractions and the umbilical cord to be easily compressed, which may endanger the fetus. The main impact on the fetus is an increased risk of preterm birth.

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Written by Liu Wei Jie
Obstetrics
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Premature rupture of membranes causes

The causes of premature rupture of membranes, or premature rupture of membranes, occur before labor when the membranes break. Normally, the membranes should rupture during labor when the cervix is fully dilated. Any rupture before this is called premature rupture of membranes. The main causes of premature rupture of membranes are maternal infections or cephalopelvic disproportion. Infections can cause the membranes to become fragile and thin, and movements afterwards may lead to premature rupture. Another scenario is cephalopelvic disproportion, where the fetus is relatively large and the pelvis is small, leading to changes in amniotic fluid pressure, which can also result in premature rupture of membranes.

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Written by Zhao Li Li
Obstetrics
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Can I have a bowel movement if my membranes rupture early?

According to the current situation, if premature rupture of membranes has occurred, it is first necessary to clarify whether the amount of vaginal discharge is within the normal range. If a large amount of amniotic fluid flows out of the vagina after activity, try to minimize movement as much as possible. Generally, it is necessary to adopt a left lateral recumbent position with the buttocks elevated, to reduce the outflow of amniotic fluid. It is also necessary to timely use antibiotics to control infection, assess the current progress of labor and the condition of the fetus, and decide on the specific mode of delivery. Normally, bowel movements can be performed, but try to minimize the number of times getting out of bed to avoid the continuous outflow of amniotic fluid or the occurrence of umbilical cord prolapse.