Premature rupture of membranes causes

Written by Zhang Lu
Obstetrics
Updated on September 14, 2024
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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 Zhao Li Li
Obstetrics
1min home-news-image

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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Is premature rupture of membranes prone to infection?

After premature rupture of membranes, various aspects of impact on both the mother and the fetus can occur, but the most important is the risk of infection. After the rupture of membranes, since the amniotic cavity is connected to the vagina through the cervix, the bacteria present in the vagina can potentially enter the amniotic cavity through the cervix and cause an infection inside the amniotic cavity. Therefore, after the rupture of membranes, the most crucial action is to prevent infection, primarily using antibiotics for treatment and closely monitoring indicators of infection. Monitoring for infection after premature rupture of membranes can be done in the following ways: first, pay attention to the characteristics of the amniotic fluid, which often has an odor in case of infection; second, monitor infection indicators, including white blood cells and C-reactive protein; third, observe if the pregnant woman exhibits any symptoms of fever.

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Written by Liu Wei Jie
Obstetrics
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Will the fetus still move if the membranes rupture prematurely?

Firstly, it is necessary to identify what the issue of premature rupture of membranes is. Premature rupture of membranes can occur during early pregnancy or the mid-to-late pregnancy stage and involves uncontrollable leakage of fluid from the vagina. If there is no umbilical cord prolapse after the rupture of membranes, the baby will definitely move. The most common issues following premature rupture of membranes are umbilical cord prolapse and infection, as well as a reduction in amniotic fluid. What should be done after premature rupture of membranes occurs? It is essential to remain in bed, raise the buttocks, and avoid getting out of bed. Getting out of bed increases the risk of umbilical cord prolapse, and following umbilical cord prolapse, fetal death in utero can occur, after which fetal movement will no longer be observed.

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Written by Zhang Lu
Obstetrics
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Can you have a bowel movement if the membranes rupture early?

Premature rupture of membranes refers to the rupture of the amniotic sac before the onset of labor. After the premature rupture of membranes, amniotic fluid continuously leaks out, and there is a possibility of complications such as umbilical cord prolapse, placental abruption, and fetal intrauterine hypoxia. After the premature rupture of membranes, whether it is immediate delivery or treatment to prolong the pregnancy, the patient generally must not engage in out-of-bed activities. It is necessary for women with premature rupture of membranes to rest in bed, and one of the most important requirements is to manage urination and defecation while in bed. Although using a bedpan is uncomfortable and many women find it hard to adapt, it is unavoidable. This is because standing after the rupture of membranes can lead to excessive loss of amniotic fluid and increase the risk of umbilical cord prolapse and placental abruption; therefore, it is necessary to use a bedpan for bowel movements while remaining in bed.

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Written by Liu Wen Li
Obstetrics
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Premature rupture of membranes

Premature rupture of membranes means that the membranes have ruptured before the onset of labor, before the onset of regular abdominal pain, and the amniotic fluid has already flowed out. This condition is called premature rupture of membranes. Premature rupture of membranes can be harmful. Firstly, after the rupture of the membranes, the barrier of the membranes is gone, which can easily lead to infection. Additionally, after the rupture of the membranes, since the umbilical cord is still very slippery, it can easily fall out with the flow of the amniotic fluid. Once the umbilical cord prolapses, and if the fetal head compresses the umbilical cord, the fetus will not have blood supply, the fetal heart rate will slow down, or even cease, leading to fetal death in utero, etc. Therefore, after the occurrence of premature rupture of membranes, also commonly known as water breaking early, it is important to seek medical attention promptly.