Premature Rupture Of The Membranes

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

Premature Rupture Of The Membranes- Assessment

What should you check in premature rupture of the membranes?

  1. Presence of a painless leakage of fluid from the vagina.
  2. Absence of steady labor contractions.
  3. Positive nitrazine test- it turns blue.
  4. Presence of meconium in the fluid.
  5. Amount, color, consistency, and odor of fluid.
  6. Decreased uterine size.
  7. Elevated temperature which may indicate infection- Monitor vital signs
  8. Tachycardia in the fetus, which may indicate maternal infection- Fetal monitoring is necessary.

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