You may have seen in movies when a pregnant lady suddenly gasps as she’s standing and then she looks down and yells ‘ my water just broke’!. And you see fluid gushing out and down her legs. Well, that was her amniotic sac breaking. And it is okay if this happens shortly before the onset of labor. But, it becomes a problem when it happens more than 1 hr before the onset of labor- And this is called premature rupture of the membranes. Continue reading
What should you check in premature rupture of the membranes?
- Presence of a painless leakage of fluid from the vagina.
- Absence of steady labor contractions.
- Positive nitrazine test- it turns blue.
- Presence of meconium in the fluid.
- Amount, color, consistency, and odor of fluid.
- Decreased uterine size.
- Elevated temperature which may indicate infection- Monitor vital signs
- Tachycardia in the fetus, which may indicate maternal infection- Fetal monitoring is necessary.
What to do when there is a premature rupture of the membranes.
- Assist with tests to find out gestational age.
- Avoid any vaginal examinations because of the risk of infection.
- Monitor both mother and fetus for signs of infection or compromise.
- Administer antibiotics as prescribed.
Prolapsed umbilical cord is a rare condition that occurs in 1% of pregnancies. It’s a situation when the umbilical cord comes out of the uterus with or before the presenting part of the fetus. Pressure on the cord from the fetus will cause cord compression that compromises blood flow to the fetus. Continue reading