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Information about predator rupture of
membranes after 37 weeks of pregnancy (Prom)
This information is for you if your waters have broken, you are 37 or more
weeks pregnant, and your labor has not
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How to fill out premature rupture of membranes

How to fill out premature rupture of membranes
01
Wash your hands thoroughly with soap and water before starting the procedure.
02
Use sterile gloves and a sterile speculum if available.
03
Gently insert the speculum into the vagina and visualize the cervix.
04
Note any pooling of amniotic fluid in the vaginal vault.
05
If amniotic fluid is seen, use sterile swabs or pH paper to confirm the presence of amniotic fluid.
06
Record the time and amount of fluid leakage, as well as the color and odor of the fluid.
07
Contact your healthcare provider immediately if you suspect premature rupture of membranes.
Who needs premature rupture of membranes?
01
Pregnant women who experience a sudden gush or leakage of fluid from the vagina may need to assess for premature rupture of membranes.
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What is premature rupture of membranes?
Premature rupture of membranes (PROM) refers to the breaking of the amniotic sac before labor begins, which can occur before 37 weeks of gestation.
Who is required to file premature rupture of membranes?
Medical professionals, including obstetricians and midwives, are required to document and report cases of premature rupture of membranes.
How to fill out premature rupture of membranes?
To fill out documentation for premature rupture of membranes, healthcare providers should include patient information, details of the rupture, gestational age, and any subsequent observations or interventions.
What is the purpose of premature rupture of membranes?
The purpose of documenting premature rupture of membranes is to ensure proper monitoring and management of both maternal and fetal health, as it poses risks for infections and premature labor.
What information must be reported on premature rupture of membranes?
Information that must be reported includes the patient's identification, time and nature of the rupture, any associated symptoms, gestational age, and actions taken following the rupture.
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