Premature Rupture of Membranes Essay

When the fluid is lost the cord and fetus freighter be compressed causing mental retardations in which the baby must be removed from the womb. For example, last week in clinical there was a 33 gestational week flummox with PPROM who was a smoker and well-tried positive for opioids. The foetal monitor the night before had indicated decelerations throughout the night, whiz even lasting nearly 8 minutes. The nurse I was assign 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 itinerary to the OR to deliver . As discussed in the article, infection is as well a major problem with PPROM. The amniotic fluid creates a seal of sorts that is to encourage the mother and infant from infection and other harmful things that could enter into the surround of the growing fetus. Once this is lost, infection is easily contracted. Usually infections associated with PPROM are bacterial. accord to the article , these types of infections cause a string of loadings that virtually throw the mother into premature labor. Because of the infection, prostaglandins are released.These then cause uterine contractions. However, the metalloproteases that are alike released cause the cervix to soften and relax. This is the cause of the membrane rupture harmonize to the article. Race is also thought to play a role in the happen of PPROM. It says that black and Hispanic women are at a higher(prenominal) risk in comparison to white women for PPROM. Diagnostic procedures can also cause PPROM. These include carclage and amniocenteses. Because these procedures compromise the integrity of the amniotic sac the risk for PPROM is increased greatly along with the risk for infection.Management of the PPROM patient depends on gestational age and severity of luid loss. It could be treatment such as medications or it could go as far as full neck rest until delivery. According to the article, 34 weeks ot gestatio n witn no other complications impart often lead to antibiotics and corticosteroids to prolong the pregnancy and decrease the risk for infections. However, in some of the extreme cases that were seen, bed rest or delivery of fetus was seen. In clinical, one of the patients seen was on bed rest until delivery and continual fetal monitoring. In conclusion, infection tends to be the nigh common effect of PPROM.Smoking nd drug use are viewed as the most common causing risk factors, and fetal complications can range from worthless formation of lungs and other physical features, low birth weight, to even fetal death. It is important to educate newly pregnant mothers on risk factors of PPROM, the effect that could occur with PPROM, and educate them on what they can do to prevent this from occurrent during their pregnancy.