PROM
Also written as: PROM — Premature Rupture of Membranes
Premature rupture of membranes occurring before the onset of labor, requiring assessment of gestational age and infection risk.
Full Definition
Premature rupture of membranes (PROM) refers to the spontaneous rupture of the amniotic membranes before the onset of labor, regardless of gestational age. When this occurs before 37 weeks, it is specifically termed preterm premature rupture of membranes (PPROM). Diagnosis is confirmed through clinical examination, testing for amniotic fluid using nitrazine paper or ferning patterns, and sometimes ultrasound assessment of oligohydramnios. PROM complicates approximately 8-10% of pregnancies and poses risks including infection (chorioamnionitis), cord prolapse, and preterm delivery. Management depends on gestational age, with considerations for antibiotic prophylaxis, corticosteroids for fetal lung maturity, and timing of delivery.
Usage
Usage note: Distinguish clearly from PPROM (preterm PROM); always spell out on first use.
In Context
- "Patient presented with PROM at 34 weeks requiring admission for monitoring and steroid administration." — Emergency department note
- "Positive nitrazine test confirmed PROM despite patient's uncertainty about fluid leakage." — Labor and delivery assessment