Will premature rupture of membranes continuously cause leaking of fluid?

Written by Zhang Lu
Obstetrics
Updated on September 13, 2024
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Premature rupture of membranes refers to the rupture of the membranes before labor, characterized by intermittent discharge of amniotic fluid from the vagina. To diagnose premature rupture of membranes, it is necessary to combine the patient's clinical symptoms with objective examinations. However, this does not mean that amniotic fluid will continuously leak after the membranes rupture. The leakage of amniotic fluid in cases of premature rupture of membranes is intermittent, primarily because many patients choose to rest in bed after the rupture. When lying flat, the amniotic fluid will not continuously leak out and may come out in spurts at times. Therefore, the belief that amniotic fluid will continuously leak following premature rupture of membranes is incorrect; intermittent leakage can also indicate a rupture. If premature rupture of membranes cannot be diagnosed based on the vaginal discharge alone, pH test strips may be used to test the fluid. If the pH test strip changes color, it can confirm the diagnosis of premature rupture of membranes.

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Written by Zhao Li Li
Obstetrics
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Is the risk of infection high with premature rupture of membranes?

In general, after premature rupture of membranes, there is still a significant risk of intrauterine infection. Normally, after premature rupture of membranes, it is necessary to clearly determine whether the development size of the embryo inside the uterine cavity is mature, as well as the specific amount of premature rupture of membranes and vaginal discharge. If the rupture of membranes is severe and there is a large amount of amniotic fluid flowing out of the vagina, it generally may lead to a reduction in amniotic fluid and significantly increase the risk of infection. After confirming premature rupture of membranes, it is necessary to actively use antibiotics for symptomatic treatment to prevent infections, promote fetal lung maturity inside the uterine cavity, and reduce the risk of delayed lung function development in the fetus after childbirth.

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Written by Zhao Li Li
Obstetrics
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Can you walk with premature rupture of membranes?

In general, if premature rupture of membranes has already occurred, it is normally necessary to rest, avoiding standing and walking. Premature rupture of membranes mainly refers to the situation where the water breaks before the onset of labor pains. This means that the membranes have ruptured and amniotic fluid may leak out at any time. Standing or walking can easily lead to continuous leakage of amniotic fluid, resulting in a reduction of the fluid or prolapse of the umbilical cord due to the leakage. If the prolapsed umbilical cord causes compressive symptoms, the fetus can quickly die within the uterine cavity. Therefore, after confirming premature rupture of membranes, it is necessary to rest in bed with the buttocks elevated and closely monitor specific fetal heart changes.

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Written by Zhang Lu
Obstetrics
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Can premature rupture of membranes be detected?

Premature rupture of membranes refers to the rupture of membranes before labor, manifested as vaginal discharge and abdominal pain, among other symptoms. The diagnosis of premature rupture of membranes is primarily conducted through the following methods: First, based on the patient's symptoms. The most typical symptom of premature rupture of membranes is the discharge of clear fluid from the vagina. This can generally be identified as amniotic fluid by the naked eye, which helps in diagnosing premature rupture of membranes. Second, if the amount of vaginal discharge is minimal, PH test strips can be used for detection. A change in the PH strip may indicate a diagnosis of premature rupture of membranes. Third, an ultrasound can also generally assess premature rupture of membranes, as the amount of amniotic fluid will decrease when the membranes have ruptured. These methods combined can confirm the presence of premature rupture of membranes.

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Written by Zhang Lu
Obstetrics
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Symptoms of premature rupture of membranes infection

Premature rupture of membranes refers to the breaking of the fetal membrane before the onset of labor, followed by the leakage of amniotic fluid. The greatest risk of premature rupture of membranes is the potential to cause an infection in the amniotic cavity. The symptoms of infection due to premature rupture of membranes include the following aspects: First, the smell and color of the amniotic fluid will change. The amniotic fluid may become purulent and have a foul smell, which suggests an infection within the amniotic cavity. Second, blood tests can reveal elevated infection markers, primarily an increase in white blood cells and C-reactive protein well above the normal range. Third, the patient may experience contractions or lower abdominal tenderness and rebound pain. When there is an infection in the amniotic cavity, symptoms of peritonitis may occur, along with manifestations of contractions, presenting as episodic pain in the lower abdomen. These are the symptoms of infection from premature rupture of membranes.

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Written by Zhang Lu
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How is premature rupture of membranes diagnosed?

Premature rupture of membranes refers to the rupture of the membranes before labor, with amniotic fluid leaking intermittently. For the diagnosis of premature rupture of membranes, the following methods are primarily used. First, through the symptoms of the patient, when the membranes rupture prematurely, a clear liquid intermittently leaks from the vagina. However, this liquid must be distinguished from vaginal secretions and urine. Second, judgement can be made based on the presence of fern-like crystals in the amniotic fluid. A small amount of the liquid can be taken and observed under a microscope, and if distinct fern-like crystals are observed, it can be concluded that there is premature rupture of membranes. Third, the use of premature rupture of membranes test strips can aid in diagnosis. If the test strip changes color upon contact with the leaking fluid, it can be definitively diagnosed as premature rupture of membranes. Fourth, ultrasound can serve as a supplementary method, as amniotic fluid often decreases with premature rupture of membranes, and an ultrasound can reveal amniotic fluid levels below the normal range.