Infectious agent (pathogen). Preterm premature rupture of the membranes (PPROM) is a pregnancy complication. Tonsillitis may cause blockage of airways, which may lead to respiratory distress. For example, one large study3 of patients at term revealed that 95 percent of patients delivered within approximately one day of PROM, whereas an analysis of studies4 evaluating patients with preterm PROM between 16 and 26 weeks gestation determined that 57 percent of patients delivered within one week, and 22 percent had a latent period of four weeks. Nursing Diagnosis: Risk for Infection related to contagious skin infection. No time for handwashing!? Giving antibiotics to patients with preterm PROM can reduce neonatal infections and prolong the latent period. Assist client to learn stress-reducing techniques. A sudden gush of clear watery fluid from the vagina is always seen in cases of PROM. Preterm PROM is not a contraindication to vaginal delivery. Color of respiratory secretions.Yellow or yellow-green sputum is indicative of respiratory infection. Long-term tocolysis is not indicated for patients with preterm PROM, although short-term tocolysis may be considered to facilitate maternal transport and the administration of corticosteroids and antibiotics. Intrapartum Management of Intraamniotic Infection | ACOG Next steps. Speculum examination to determine cervical dilation is preferred because digital examination is associated with a decreased latent period and with the potential for adverse sequelae. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Your pregnancy care provider may also use nitrazine paper to diagnose PROM. Or you may need medicine to stop preterm labor. As it has helped me alot in my educational field. These include: The biggest concern with PROM is premature birth. Aseptic technique decreases the chances of transmitting or spreading pathogens to or between patients. This reduces or eliminates germs. It depends on factors like the age of the pregnancy and how much amniotic fluid is left. This content is owned by the AAFP. -The nurse will educate the patient on 6 signs and symptoms of infection the patient should watch out for. The fetal membranes are so strong that blunt trauma to the abdomen is unlikely to cause PROM. Antibiotics should be administered to patients with preterm PROM because they prolong the latent period and improve outcomes. Compromised circulation (e.g., obesity, lymphedema, peripheral vascular disease). <>
Vital signs monitoring including the patients temperature help in the monitoring of possible infections. If your pregnancy reaches 37 weeks, complications from premature birth are lower. Clostridium Difficile C. Diff Infection and Prevention, Hydronephrosis Nursing Diagnosis and Care Plan, Self Care Deficit Nursing Diagnosis and Care Plan, Erythema redness on the affected body part, region, or area, Warmth and/or tenderness on the affected body part, region, or area. Your membranes are a fluid-filled sac (also called the amniotic sac) containing amniotic fluid. PROM occurs in approximately 10% of pregnancies. Nursing Diagnosis: Risk for infection related to the presence of artificial airway (tracheostomy). Premature Rupture of Membranes (PROM) Nursing Care Plan & Management, Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), Ectopic Pregnancy Nursing Care Management, Large-for-Gestational Age (LGA) Newborn Nursing Care Plan & Management, Early Postpartum Hemorrhage Nursing Care Plan & Management, Rheumatic Fever Nursing Care Plan & Management, Hyperemesis Gravidarum Nursing Care Plan & Management, Perform initial vaginal examination, when the contraction.