Prelabour Rupture of Membrane (PROM)

Definition

Spontaneous rupture of the membranes any time between >28w and before onset of labour.

Causes

  1. Increased friability of the membranes

  2. Decreased tensile strength of the membranes

  3. Polyhydramnios

  4. Cervical incompetence

  5. Multiple pregnancy

  6. Infection - chorioamnionitis, UTI, lower genital tract infection

  7. Cervical length <2.5 cm

  8. Prior preterm labor

  9. Low BMI <19 kg/m2