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It is a common problem in people with low immune system. She states the she is 37 weeks along. It also increases your chance of having your baby too early. Elevated temperature.Fever is often the first sign of an infection. Antibiotics should be administered to patients with preterm PROM because they prolong the latent period and improve outcomes. Preterm Premature Rupture of Membranes (PPROM) An example of data being processed may be a unique identifier stored in a cookie. Alleviate or reduce the problems related with the infection. Patient information: See related handout on preterm premature rupture of membranes, written by the authors of this article. In this condition, the sac (amniotic membrane) surrounding your baby breaks (ruptures) before week 37 of pregnancy. Ferning refers to the fern-like pattern of dry amniotic fluid. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R 40 0 R 41 0 R] /MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S>> Yes, the fetus can survive if your water breaks too soon. For patients with preterm PROM at 32 or 33 weeks gestation with documented pulmonary maturity, induction of labor and transportation to a facility that can perform amniocentesis and care for premature neonates should be considered.30 Prolonging pregnancy after documentation of pulmonary maturity unnecessarily increases the likelihood of maternal amnionitis, umbilical cord compression, prolonged hospitalization, and neonatal infection.6. Multiple courses of corticosteroids and the use of corticosteroids after 34 weeks gestation are not recommended. St. Louis, MO: Elsevier. Multiple courses are not recommended because studies have shown that two or more courses can result in decreased infant birth weight, head circumference, and body length.23. Prom may occur if the uterus is over-stretched by malpresentation of the fetus, multiple pregnancy or excess amniotic fluid. Other symptoms include a fast heart rate, sore or painful uterus, and amniotic fluid that smells bad. Wash hands with antiseptic soap and water for at least 15 seconds, followed by an alcohol-based hand rub. Contact your pregnancy care provider right away if you believe your membranes have ruptured. You may be at higher risk for PPROM or PROM if you have or develop any conditions that weaken the chorioamniotic membrane (the outer layer of the amniotic sac). 14. Excessive stress predisposes clients to infection. What nursing care plan book do you recommend helping you develop a nursing care plan? Teach the patient/ carer the proper application of non-stick bandages over the affected areas can also help prevent the spread of rash and further infection. Any suspicious drainage should be cultured; antibiotic therapy is determined by pathogens identified. Once the sac breaks, you have an increased risk for infection. A fern test is ordered and comes back as positive. Tonsillitis may cause blockage of airways, which may lead to respiratory distress. Also, having inadequate resources, lack of knowledge, and being malnourished place an individual at high risk of developing an infection. Monitor and report any signs and symptoms of infection. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Some physicians are concerned that not performing a digital examination may lead to the misdiagnosis of advanced preterm labor with imminent delivery, which has important implications for patients who require transfer to a tertiary care center; however, a prospective comparison17 found that the difference between digital and speculum examinations was not clinically significant.