Midwifery Management of Prelabor Rupture of Membranes at Term

Authors

  • Amy Marowitz CNM, MS,

    Corresponding author
      Amy Marowitz, CNM, MS, 4401 Wheeler Road, Maple City, MI 49664. E-mail: Marowitz@midwives.org
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    • Amy Marowitz, CNM, MS, is on faculty at the Frontier School of Midwifery and Family Nursing, Hyden, KY.

  • Robin Jordan CNM, PhD

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    • Robin Jordan, CNM, PhD, is on faculty at the Frontier School of Midwifery and Family Nursing, Hyden, KY.


Amy Marowitz, CNM, MS, 4401 Wheeler Road, Maple City, MI 49664. E-mail: Marowitz@midwives.org

Abstract

Spontaneous rupture of membranes before the onset of labor at term is commonly referred to as PROM (either premature or preterm rupture of membranes) and occurs in about 8% of term pregnancies. PROM is associated with an increased risk of infection. Many controversies exist regarding the optimal management of PROM, including the choice of induction or expectant management, use of digital vaginal exams, and routine administration of antibiotics. This article reviews the literature on PROM and illustrates some of the management issues encountered by presenting approaches used in three midwifery services.

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