Premature rupture of membranes complications

Written by Su Wen
Obstetrics and Gynecology
Updated on December 24, 2024
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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.

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Written by Zhao Li Li
Obstetrics
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Can premature rupture of membranes lead to a vaginal delivery?

If symptoms of premature rupture of membranes occur, further examination is still necessary to determine the specific mode of delivery. If there is only an early rupture of the membranes without systemic infectious symptoms, a comprehensive assessment of the development size of the fetus inside the uterine cavity, the specific amount of amniotic fluid, and the condition of the birth canal should be conducted. If there are no abnormalities, it is possible to attempt vaginal delivery. During the trial of labor, it is also necessary to closely monitor the changes in the amniotic fluid and the condition of the fetal heart rate. If any abnormalities occur, there is also the possibility of switching to an emergency cesarean section at any time.

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Written by Su Wen
Obstetrics and Gynecology
50sec home-news-image

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.

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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.

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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 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.