Can you walk with premature rupture of membranes?

Written by Zhao Li Li
Obstetrics
Updated on September 05, 2024
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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.

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Written by Yue Hua
Obstetrics and Gynecology
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Premature rupture of membranes requires what examinations?

To diagnose premature rupture of membranes, first, a pH test of the vaginal fluid must be conducted. The normal pH value of vaginal fluid in women ranges from 4.5 to 5.5, whereas the pH of amniotic fluid ranges from 7.0 to 7.5. If the membranes have ruptured prematurely, the pH value would be greater than 6.5. Additionally, a smear test of the vaginal fluid can be done by placing vaginal secretions under a glass slide and examining them under a microscope. If fern-like crystals are observed, this indicates the presence of amniotic fluid. Furthermore, an ultrasound examination can be conducted. If the ultrasound shows a rapid decrease in the amount of amniotic fluid, this can assist in the diagnosis.

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Written by Liu Wen Li
Obstetrics
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Does premature rupture of membranes require induction of labor?

The management of premature rupture of membranes varies depending on the gestational age. If the rupture occurs very early in pregnancy, the doctor will assess the maturity of the fetus. If it seems that the child still has a long way to mature, or it is difficult to conservatively maintain the pregnancy until maturity, induction of labor may be recommended. If the doctor feels that the fetus is mature enough, then induction of labor may be considered, which involves the administration of drugs to induce labor. If it is between these two scenarios, expectant management may be advised, which involves not inducing labor, along with infection prevention, bed rest, etc. Since infection can occur after a long duration of membrane rupture, it is important to closely monitor infection indicators during this period. If an infection is detected, labor may be induced using drugs to expedite delivery.

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Written by Zhao Li Li
Obstetrics
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What will happen to fetal movement if the membranes rupture prematurely?

Generally, if premature rupture of membranes occurs, it is necessary to clearly determine the specific development of the embryo and the specific gestational age. If the fetus is preterm with premature rupture of membranes, it is necessary to promptly provide anti-infection treatment and promote fetal lung maturity among other symptomatic treatments. If the fetus is already at term, it is important to closely monitor the specific condition of cervical dilation and abdominal pain to decide on the mode of delivery. Normally, premature rupture of membranes does not affect fetal movement at all. A fetal heart rate monitoring test can be conducted to clarify the specific situation of the embryo's development within the uterine cavity and whether there is any fetal hypoxia, to comprehensively analyze the situation.

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Written by Zhang Lu
Obstetrics
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Premature rupture of membranes causes

Premature rupture of membranes is a common complication during pregnancy, which can easily lead to intrauterine infection of the fetus and preterm delivery. The main causes of premature rupture of membranes include the following aspects: First, the most common cause is an infection in the vagina, which then leads to an ascending infection, triggering chorioamnionitis. When chorioamnionitis occurs, the fragility of the membranes increases, making them prone to rupture, leading to the leakage of amniotic fluid. Second, the membranes can rupture due to a blunt impact on the abdomen, such as an accidental strong hit, which can cause the membranes to suddenly break, leading to premature rupture of membranes. Third, an excessive amount of amniotic fluid, due to various reasons, can increase the pressure inside the amniotic cavity, potentially leading to spontaneous rupture of the membranes. These are the various reasons for premature rupture of membranes.

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Written by Zhang Lu
Obstetrics
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Premature rupture of membranes' impact on the fetus

Premature rupture of membranes (PROM) refers to the rupture of the amniotic sac before the onset of labor, primarily affecting the fetus in the following ways. First, PROM can easily lead to premature birth, which may cause immature development of the fetus, often requiring treatment in neonatology. Second, PROM can lead to infections within the uterine cavity, subsequently causing newborn infections that can lead to neonatal death. Third, during the treatment of PROM, complications such as placental abruption or umbilical cord prolapse may occur, which can easily cause intrauterine hypoxia or death of the fetus. For PROM, it is essential to undergo proper treatment and monitoring. If any abnormalities arise, it is crucial to terminate the pregnancy promptly.