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Prelabor rupture of the membranes (prom) refers to rupture of the fetal membranes prior to the onset of regular uterine contractions. It may occur at term (37+0 weeks of gestation) or preterm ( The latter is designated preterm prom (pprom).
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The pathophysiology of spontaneous rom is poorly understood but recognised risk factors include infection, multiple pregnancy, antepartum haemorrhage and cervical incompetence. 2 rom following a medical procedure tends to be associated with a more favourable outcome3. These need to be weighed against the risks to you and to your baby in waiting for labour to start naturally. Premature rom (prom) refers to rupture of the fetal membranes prior to the onset of labor irrespective of gestational age. Once the membranes rupture, delivery is recommended when the risk of ascending infection outweighs the risk of prematurity.
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When prom occurs at term, labor typically ensues spontaneously or is induced within 12 to 24 hours. Management decisions depend on gestational age and evaluation of the relative risks of delivery versus the risks (eg, infection, abruptio placentae, and umbilical cord accident) of expectant management when pregnancy is allowed to progress to a later gestational age.
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