Pprom preterm premature rupture of membranes o

PPROM (Preterm premature rupture of
membranes)
o Rupture of membranes prior to 37
weeks and mother is in labor
o PROM
 Rupture of membrane before the onset of labor after 37
weeks
o Prolonged rupture of membranes >
24 hours
 Rupture of membranes without delivery for longer than 24
hours
o Previable PROM before 24 weeks
 Amnio infusions
 Generally fetus does not survive
o Risk Factors
 Previous PPROM or preterm delivery
 Bleeding during pregnancy
 Multiple gestations
 STIs
 Smoking
o Risks
 Mother
 Infection (chorioamnionitis)
 Increased rates of cesarean birth
 Fetus
 Infection
 Preterm delivery
 Hypoxia

 Fetal deformities
o Nursing Care
 Maintain pregnancy as long as possible
 Be ready for possible delivery at any point
 Continue fetal heart monitoring
 Antenatal steroids are given before 34 weeks gestation
 Monitor for infection
 Fever
 Increased WBC
 Non-Stress Tests
 BPP (Biophysical profile)
 If PPROM, monitor for signs/symptoms of infection
 IUGR
o Intrauterine growth restriction
 Placental abnormalities
o Monitor baby for withdrawal symptoms