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Neuro Endocrinol Lett, 29 2 , This management and exact timeframe may vary from provider to provider. Augmenting labor is also more likely in this scenario since the potential for complications is higher. The reasons for this intervention include things like failed induction and fetal distress. PROM is labeled as the cause of 0. The main way this happens is through bacterial infection that goes up the vaginal canal and reaches the uterus.
Logically, the longer it takes to deliver your baby, the more opportunities there are for possible infection. Interestingly, a review of studies on PROM did not suggest a huge difference in stillbirth risk between those women who were induced after their water broke versus those who followed expectant management. Related: Understanding and recovering from stillbirth. In reality, PROM really is a dance of sorts. Your healthcare provider must balance the benefits and risks.
For this reason, you may want to discuss the course of events with your doctor to know what to expect if your water breaks before your contractions begin. And while GBS-positive women may follow expectant management, many caregivers and women choose to augment labor without waiting. While less common and more present in literature outside the United States , your caregiver may give you up to 96 hours after your water breaks to begin labor on your own.
Related: How to prepare for labor induction. The risk of infection can be for either mom or baby. Fortunately, doctors and nurses know what to look for and will watch you carefully and act accordingly. If you choose to labor at home with guidance from your caregiver , you may want to familiarize yourself with signs of infection so you can get prompt medical care when needed. Chorioamnionitis , for example, is an infection of the uterus. While in the hospital, your doctor can monitor your temperature, heart rate, and other vital signs.
Your baby will also be monitored using an external or internal fetal monitor during this time to look for signs of distress, like:. However, inducing labor did lead to a slight reduction in uterine environment infections, a condition known as chorioamnionitis. To take a closer look at whether there were any benefits of inducing labor, a team of researchers led by Dr.
David van der Ham of the Maastricht University Medical Center randomly assigned women whose water broke at 34 to 37 weeks gestation to be induced or simply to be watched and monitored. Van der Ham and his colleagues found that among babies born late preterm with pre-labor rupture of the membranes -- water breaking before labor started -- the rate of sepsis and breathing problems did not go up if the babies were allowed to deliver on their own without intervention.
Water breaking: Understand this sign of labor Water breaking worries? By Mayo Clinic Staff. Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information.
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American College of Obstetricians and Gynecologists. Accessed May 2, Duff P. Preterm prelabor rupture of membranes. Labor and delivery. Washington, D. Labor and birth. Grobman W. Induction of labor. Morris JM, et al.
Immediate delivery compared with expectant management after preterm pre-labour rupture of the membranes close to term PPROMT trial : A randomised controlled trial.
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