Why does membrane rupture

If prelabor rupture results in a preterm delivery, the premature newborn Premature Newborn A premature newborn is a baby delivered before 37 weeks of gestation. Depending on when they are born, premature newborns have underdeveloped organs, which may not be ready to function outside When there is bleeding in the brain, the brain may not develop normally, causing problems such as cerebral palsy Cerebral Palsy CP Cerebral palsy refers to a group of symptoms that involve difficulty moving and muscle stiffness spasticity.

It results from brain malformations that occur before birth as the brain is developing If the pregnancy is less than 24 weeks when the membranes rupture, the fetus's limbs may be deformed. After the membranes rupture, contractions usually begin within 24 hours when the woman is at term but may not start for 4 days or longer if rupture occurs between 32 and 34 weeks of pregnancy. Using a speculum to spread the walls of the vagina, the doctor or midwife examines the vagina and cervix the lower part of the uterus to confirm that the membranes have ruptured and to estimate how much the cervix has opened dilated.

If prelabor rupture of the membranes is diagnosed and the fetus can survive outside the uterus, the woman is usually admitted to a hospital so that the status of the fetus can be determined. If the pregnancy is less than 34 weeks, usually rest, close monitoring usually in the hospital, antibiotics, and sometimes corticosteroids.

If the pregnancy is less than 32 weeks, usually magnesium sulfate to prevent bleeding in the brain and problems with development of the newborn's brain. Doctors must balance the risk of infection in the uterus and in the fetus when delivery is delayed against the problems that may occur when a newborn is premature. Generally, a doctor or certified nurse midwife does the following:. If the pregnancy is 34 weeks or more, labor is artificially started induced Induction of Labor Induction of labor is the artificial starting of labor.

Usually, labor is induced by giving the woman oxytocin, a drug that makes the uterus contract more frequently and more forcefully. If the pregnancy is less than 34 weeks, the woman is closely monitored for signs of infection or labor in the hospital. Sometimes doctors analyze a sample of amniotic fluid to determine how mature the fetus's lungs are. The sample may be taken from the woman's vagina or by amniocentesis Amniocentesis Prenatal diagnostic testing involves testing the fetus before birth prenatally to determine whether the fetus has certain abnormalities, including certain hereditary or spontaneous genetic In amniocentesis, a doctor inserts a needle through the wall of the abdomen into the amniotic fluid and withdraws a sample from the membranes around the fetus.

The biggest sign to watch for is fluid leaking from the vagina. It may leak slowly, or it may gush out. Some of the fluid is lost when the membranes break. The membranes may continue to leak. Sometimes when fluid leaks out slowly, women mistake it for urine.

If you notice fluid leaking, use a pad to absorb some of it. Look at it and smell it. Amniotic fluid usually has no color and does not smell like urine it has a much sweeter smell. If you think your membranes have ruptured, call your health care provider right away. You will need to be checked as soon as possible.

At the hospital, simple tests can confirm that your membranes have ruptured. Your provider will check your cervix to see if it has softened and is starting to dilate open up. If your doctor finds that you have PROM, you will need to be in the hospital until your baby is born. If your pregnancy is past 37 weeks, your baby is ready to be born.

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PROM is a complicating factor in as many as one third of premature births. A significant risk of PPROM is that the baby is very likely to be born within a few days of the membrane rupture. Another major risk of PROM is development of a serious infection of the placental tissues called chorioamnionitis, which can be very dangerous for mother and baby. Other complications that may occur with PROM include placental abruption early detachment of the placenta from the uterus , compression of the umbilical cord, cesarean birth, and postpartum after delivery infection.

The following are the most common symptoms of PROM. However, each woman may experience symptoms differently. Symptoms may include:.