Premature rupture of membranes symptoms

Written by Zhao Li Li
Obstetrics
Updated on February 16, 2025
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Under normal circumstances, if there is no regular contraction and the amniotic fluid breaks after full-term, it is known as premature rupture of membranes. Regardless of the period, if premature rupture of membranes occurs, active symptomatic treatment is necessary. Normally, premature rupture of membranes may involve sudden vaginal discharge caused by various reasons. The amount of discharge can vary, usually being continuous, with the duration also varying. It starts with a large amount, then gradually decreases, with a few cases being intermittent. The vaginal discharge is usually related to changes in the pregnant woman's posture or activity. It can be seen that fluid leaks from the vaginal opening, or flows out from inside the vagina during upper fetal head push, pressing on the fundus, or when the posture of the pregnant woman changes. This condition can then be confirmed as premature rupture of membranes.

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Written by Zhang Lu
Obstetrics
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Premature rupture of membranes symptoms

Premature rupture of membranes refers to the rupture of the membranes before labor, and the symptoms of premature rupture of membranes include the following aspects: Firstly, a large amount of fluid will flow out of the vagina. Once the membranes rupture, amniotic fluid will flow out intermittently, releasing a colorless and odorless fluid, which will wet the underwear. Secondly, there may be a small amount of bleeding. When the membranes rupture, the capillaries at the edges of the membranes may bleed slightly, mixing with the amniotic fluid, resulting in some spotting or slight bleeding. Thirdly, there may be abdominal pain and the sensation of contractions. After the rupture of the membranes, this can stimulate the cervix, causing the release of inflammatory mediators from the cervix and inducing uterine contractions, leading to contractions and the sensation of abdominal pain. These are the symptoms of premature rupture of membranes.

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Written by Liu Wen Li
Obstetrics
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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 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 Yue Hua
Obstetrics and Gynecology
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What are the risks of premature rupture of membranes?

After premature rupture of membranes, the amniotic cavity is directly connected to the woman's vagina at this time, which primarily poses the risk of infection. If the fetus becomes infected, it is easy to lead to sepsis after birth, resulting in an increased mortality rate for the fetus. Additionally, it can cause bleeding in the fetus. Moreover, for the mother, there is a likely risk of placental abruption, which is due to the reduced abdominal tension after membrane rupture, making placental abruption more likely to occur. Furthermore, the mother is also prone to infections, which can easily lead to chorioamnionitis under these circumstances.

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Written by Su Wen
Obstetrics and Gynecology
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Premature rupture of membranes complications

The complications of premature rupture of membranes mainly include two aspects. The first is the impact on adults, that is, on the mother. It can lead to chorioamnionitis, causing severe infection, sepsis, and an increased chance of cesarean delivery. The second is the impact on the fetus. If premature rupture of membranes occurs, it may lead to fetal distress in utero, fetal death in utero, and neonatal infection. For instance, pneumonia caused by inhalation, neonatal asphyxia, and severe cases leading to death, etc. Once the symptoms of premature rupture of membranes are detected, it is necessary to be hospitalized as soon as possible to take the necessary treatment measures.