Nursing Diagnosis for Premature Rupture of Membranes

Nursing Care Plan for PROM
 
Premature rupture of membranes (PROM) is the rupture of the membranes prior to the onset of labour.

Premature rupture of membranes (PROM) refers to a patient who is beyond 37 weeks' gestation and has presented with rupture of membranes (ROM) prior to the onset of labor. Preterm premature rupture of membranes (PPROM) is ROM prior to 37 weeks' gestation. Spontaneous premature rupture of the membranes (SPROM) is ROM after or with the onset of labor. Prolonged ROM is any ROM that persists for more than 24 hours and prior to the onset of labor.

Risk factors for PPROM are:

• Smoking. Heavy cigarette smoking increases the risk of PPROM more at early gestational age than at term.]
• Previous preterm delivery.
• Vaginal bleeding (at any time during the pregnancy).
• There is an association between lower genital tract infection and PPROM.
• Around a third of women with PPROM have positive amniotic fluid cultures.

The following are the most common symptoms of PROM. However, each woman may experience symptoms differently.

Symptoms of PROM:

• leaking or a gush of watery fluid from the vagina
• constant wetness in panties

If you notice any symptoms of PROM, be sure to call your physician as soon as possible. The symptoms of PROM may resemble other medical conditions. Consult your physician for a diagnosis.

Prevention of premature rupture of membranes:

Unfortunately, there is no way to actively prevent PROM. However, this condition does have a strong link with cigarette smoking and mothers should stop smoking as soon as possible.


Nursing Diagnosis for Premature Rupture of Membranes

1. Risk for Infection: maternal
related to:

• invasive procedures,
• recurrent vaginal examination,
• amniotic membrane rupture.

2. Impaired gas exchange: fetus
related to: the presence of disease.

3. Acute pain
related to: the rhythmic contraction of uterine smooth muscle.

4. Anxiety
related to:

• crisis situation,
• threat to the mother / fetus.

6. Activity intolerance
related to: muscle hypersensitivity.