扬州大学：《妇产科学》课程教学课件（PPT讲稿）22 胎膜早破 PREMATURE RUPTURE OF MEMBRANES（PROM）

OFPREMATURERUPTUREMEMBRANES(PROM)

PREMATURE RUPTURE OF MEMBRANES (PROM)

DefinitionPROMisdefinedasthe ruptureofthechorioamnioticmembranebeforetheonsetoflabor

Definition PROM is defined as the rupture of the chorioamniotic membrane before the onset of labor

Incidenceoccurs in aboutPROM10%~15% of all deliveryPROM is associated with10% of term pregnancy

Incidence ▪PROM occurs in about 10%~15% of all delivery ▪PROM is associated with 10% of term pregnancy

CauseofPROMTrauma (abdominal striked intensely)Sexual intercourse(particularly in the lategestational weeks)Vaginalinfectiondue to bacteria、virus、TOXO、CMV、HPVandHSVetaSmoking

Cause of PROM ▪ Trauma (abdominal striked intensely) ▪ Sexual intercourse(particularly in the late gestational weeks) ▪ Vaginal infection due to bacteria、virus、TOXO、CMV、HPV and HSV,et al ▪ Smoking

Other :>PriorPROM>A short cervical length>Priorpretermdelivery>Bleeding in early pregancy

▪ Other : ➢Prior PROM ➢A short cervical length ➢Prior preterm delivery ➢Bleeding in early pregancy

Affect of PROM on themothers and infantsMothers:(1) Infection : intrauterinepuerperal(2)Placentalabruption(3) Preterm delivery

Affect of PROM on the mothers and infants Mothers: (1) Infection : intrauterine puerperal (2) Placental abruption (3) Preterm delivery

Infants:(1) Preterm Baby and their Complications :(RDS / Fetal and Neurologic dysfunctionIntracranial hemorrhage)(2)neonatalpneumonia、sepsis(3) Pulmonary hypoplasia and fetalcompression syndroneumbilical cord(4)Prolapseorcompressionof(5)Abruptioplacenta

Infants: (1) Preterm Baby and their Complications : (RDS / Fetal and Neurologic dysfunction Intracranial hemorrhage) (2) neonatal pneumonia、sepsis (3) Pulmonary hypoplasia and fetal compression syndrone (4) Prolapse or compression of umbilical cord (5) Abruptio placenta

amniotic fluid(2) Free flowing(3) Fever/ heart rate of mother andinfants 个 / WBC and CRP ↑/ Uterinetenderness on palpation

(2) Free flowing amniotic fluid (3) Fever / heart rate of mother and infants ↑ / WBC and CRP ↑/ Uterine tenderness on palpation

Diagnosis(1) Vaginal speculum exam.:leakage of amniotic fluidPH determination of vaginalfluid(2)(3)The"fern"test(4)Aminoscopy

Diagnosis (1) Vaginal speculum exam.: leakage of amniotic fluid (2) PH determination of vaginal fluid (3) The “fern” test (4) Aminoscopy