Prelabour Rupture of Membranes

Question 1

What is prelabour rupture of membranes?

Answer 1

When the amniotic membranes rupture prior to the start of labour, in a woman who is more than 37 weeks pregnant

Question 2

What is the presentation of prelabour rupture of membranes?

Answer 2

Greenish/ foul smelling amniotic fluid
Maternal fever
Reduced fetal movements

Question 3

What are the investigations to confirm prelabour rupture of membranes?

Answer 3

Amnisure
Actim-PROM
Ultrasound
High vaginal swab

Question 4

What are the differentials of prelabour rupture of membranes?

Answer 4

Urinary incontinence
Vaginal discharge or infection
Loss of mucus plug

Question 5

What is the management of prelabour rupture of membranes?

Answer 5

Monitoring maternal temperature
Assessing fetal movements
Monitoring of fetal heart rate
Consider IOL after 24 hours

Question 6

What are the risk factors for prelabour rupture of membranes?

Answer 6

Smoking
Previous PROM
Vaginal bleeding during pregnancy
Lower genital tract infection
Invasive procedures - amniocentesis
Multiple pregnancy