PROM
Pronunciation: prom
Also written as: PROM — Premature Rupture of Membranes
Premature rupture of membranes occurring before labor onset, regardless of gestational age.
Full Definition
PROM (Premature Rupture of Membranes) describes the spontaneous rupture of the amniotic sac before the onset of regular uterine contractions, occurring at any gestational age. When PROM occurs before 37 weeks, it may be specifically termed 'preterm PROM' (PPROM). The condition poses risks including infection (chorioamnionitis), cord prolapse, and preterm delivery. Diagnosis is confirmed through clinical examination, testing of vaginal fluid, and sometimes ultrasound assessment of amniotic fluid volume. Management depends on gestational age, with considerations for antibiotic prophylaxis, corticosteroids for fetal lung maturity, and timing of delivery. Prolonged PROM increases infection risk for both mother and baby.
Usage
Usage note: Distinguish from PPROM (preterm premature rupture of membranes) which specifically occurs before 37 weeks.
In Context
- "PROM was diagnosed at 39 weeks; delivery is anticipated within 24 hours." — Labor and delivery admission note
- "Antibiotic prophylaxis was initiated following confirmed PROM at 35 weeks." — Obstetric management plan