Amy Marowitz, CNM, MS, is on faculty at the Frontier School of Midwifery and Family Nursing, Hyden, KY.
Midwifery Management of Prelabor Rupture of Membranes at Term
Article first published online: 24 DEC 2010
2007 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 52, Issue 3, pages 199–206, May-June 2007
How to Cite
Marowitz, A. and Jordan, R. (2007), Midwifery Management of Prelabor Rupture of Membranes at Term. Journal of Midwifery & Womens Health, 52: 199–206. doi: 10.1016/j.jmwh.2006.12.012
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- expectant management;
- prelabor or premature rupture of membranes at term
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.