Premature Rupture of Membranes: Article Review
Premature Rupture of Membranes Article Review
As the article states, premature rupture of membranes occurs when the amniotic membranes surrounding the growing fetus rupture causing a loss of fluid before 37 weeks of gestation and before the onset of natural labor. PPROM, preterm premature rupture of membranes is seen often in women who smoke and use recreational drugs. If PPROM occurs before 26 weeks of gestation it is considered extreme and more often than not leads to more serious complications for the mother and the fetus. The article I chose to review is a case study of about 44 extreme PPROMs and the risk factors associated with them. 2-3% of pregnancies have PPROM occurring during gestation. Not only does PPROM cause increased risk of infection and complications, but it also increases the risk of fetal death. In clinical we have seen several PPROMs all with similar circumstances and habits of smoking and/ or drug use. Often when PPROM occurs, decelerations are monitored in the fetus. When decelerations occur, the fetus is in distress and in most instances, they will be delivered. The amniotic fluid within the womb gives a free-flowing environment for the fetus and the umbilical cord attached. When the fluid is lost the cord and fetus can be compressed causing decelerations in which the baby must be removed from the womb. For example, last week in clinical there was a 33 gestational week mother with PPROM who was a smoker and tested positive for opioids. The fetal monitor the night before had indicated decelerations throughout the night, one even lasting nearly 8 minutes. The nurse I was assigned to said that “she did not realize how close to delivery she was. If a deceleration cannot be brought up in 10 minutes, they are on their way to the OR to deliver!”. As discussed in the article, infection is also a major problem with PPROM. The amniotic fluid creates a seal of sorts that is to protect the mother and infant from infection and other harmful
As the article states, premature rupture of membranes occurs when the amniotic membranes surrounding the growing fetus rupture causing a loss of fluid before 37 weeks of gestation and before the onset of natural labor. PPROM, preterm premature rupture of membranes is seen often in women who smoke and use recreational drugs. If PPROM occurs before 26 weeks of gestation it is considered extreme and more often than not leads to more serious complications for the mother and the fetus. The article I chose to review is a case study of about 44 extreme PPROMs and the risk factors associated with them. 2-3% of pregnancies have PPROM occurring during gestation. Not only does PPROM cause increased risk of infection and complications, but it also increases the risk of fetal death. In clinical we have seen several PPROMs all with similar circumstances and habits of smoking and/ or drug use. Often when PPROM occurs, decelerations are monitored in the fetus. When decelerations occur, the fetus is in distress and in most instances, they will be delivered. The amniotic fluid within the womb gives a free-flowing environment for the fetus and the umbilical cord attached. When the fluid is lost the cord and fetus can be compressed causing decelerations in which the baby must be removed from the womb. For example, last week in clinical there was a 33 gestational week mother with PPROM who was a smoker and tested positive for opioids. The fetal monitor the night before had indicated decelerations throughout the night, one even lasting nearly 8 minutes. The nurse I was assigned to said that “she did not realize how close to delivery she was. If a deceleration cannot be brought up in 10 minutes, they are on their way to the OR to deliver!”. As discussed in the article, infection is also a major problem with PPROM. The amniotic fluid creates a seal of sorts that is to protect the mother and infant from infection and other harmful
Bibliography: NIhal Al Riyami, I. A.-R.-S.-K. (2013). Extreme Preterm Premature Ruputure of Membranes: Risk Factors and Feto Maternal outcomes . oman medical journal, 108-111.