Can a miscarriage due to premature rupture of membranes not be prevented?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on July 03, 2025
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In early pregnancy, if there is a rupture of the membranes, conservation treatment to maintain the pregnancy is not conducted, because such a miscarriage cannot be prevented. However, if the rupture of the membranes occurs around seven months of pregnancy, conservation treatment is possible. This treatment can extend the pregnancy for one to two weeks, during which the fetus will mature. Then, if there is no intrauterine infection, it is generally safe for about a week. If more than a week passes and the fetus is still alive, it is possible to deliver the baby through cesarean section. Given current medical conditions, the chances of survival for a child at seven months of pregnancy are considerably high, therefore conservation treatment at this stage is feasible.

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Written by Zhang Lu
Obstetrics
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Is premature rupture of membranes serious?

Premature rupture of membranes refers to the rupture of the amniotic sac before labor begins. The severity of premature rupture of membranes primarily depends on the gestational week when the rupture occurs, as well as whether there are complications such as intrauterine infection or fetal distress. First, for term premature rupture of membranes, which occurs after 37 weeks, the fetus is relatively mature and larger in size; therefore, this condition is not considered severe, and prompt delivery is usually sufficient. Second, for preterm premature rupture of membranes, since the maturity of the fetus is not high and the size is relatively small, there is a higher risk of preterm birth which makes this situation more risky. Third, premature rupture of membranes can easily lead to fetal intrauterine hypoxia or intrauterine infection. If these two conditions occur, it indicates a more serious situation, and pregnancy should be terminated promptly to prevent further deterioration of the condition.

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Written by Zhang Lu
Obstetrics
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Can premature rupture of membranes be detected?

Premature rupture of membranes refers to the rupture of membranes before labor, manifested as vaginal discharge and abdominal pain, among other symptoms. The diagnosis of premature rupture of membranes is primarily conducted through the following methods: First, based on the patient's symptoms. The most typical symptom of premature rupture of membranes is the discharge of clear fluid from the vagina. This can generally be identified as amniotic fluid by the naked eye, which helps in diagnosing premature rupture of membranes. Second, if the amount of vaginal discharge is minimal, PH test strips can be used for detection. A change in the PH strip may indicate a diagnosis of premature rupture of membranes. Third, an ultrasound can also generally assess premature rupture of membranes, as the amount of amniotic fluid will decrease when the membranes have ruptured. These methods combined can confirm the presence of premature rupture of membranes.

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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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How is premature rupture of membranes diagnosed?

Premature rupture of membranes refers to the rupture of the membranes before the onset of labor, followed by the leakage of amniotic fluid. It is necessary to distinguish premature rupture of membranes from increased vaginal discharge and urinary incontinence. The methods to diagnose premature rupture of membranes include the following aspects: First, symptomatically, after the rupture of membranes, a clear liquid intermittently leaks from the vagina, accompanied by mild abdominal pain or bloody show. Second, after the rupture of membranes, the liquid leaking from the vagina can be tested with pH paper, which in most cases will change color, confirming the diagnosis of premature rupture of membranes. Third, an ultrasound can be used to observe a reduction in the amount of amniotic fluid within the amniotic cavity. Fourth, the leaking fluid can be examined under a microscope to observe "fern-like" crystallization, which can also confirm the diagnosis of premature rupture of membranes.

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Written by Zhao Li Li
Obstetrics
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Premature rupture of membranes symptoms

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.