COMPLICATION OF

PREMATURE RUPTURE OF
THE MEMBRANES (PROM)
COMPLICATION OF PROM :
 1.Prematur Labour
 2.Infection Mother, fetal
 3.Hipoksia and asfiksia
 4.Deformitas syndrome
 5.Increase risk of SC
 PREMATURE LABOUR
 Membrane ruptures Labour, depend on
gestational age
 Aterm 24 hours
 Preterm 1 weeks
 PPROM Morbiditas and mortalitas :
ARDS, NEC.
 Relation between duration rupture
membrane and labour
 Moderate shortening in first stage in
PROM
 INFECTION
 Mother and fetal
 Mother : Chorioamnionitis, endometriosis
 Fetal : pneumonia, UTI, konjungtivitis
 Chorioamnionitis fetal infectionsepsis
 Bacteriacolonized in chorioamnion+/-
evident sign in mother
 PROM passage to outher
worldascending infection : streptococcus
grup B,D, anaerob bacteriainvaded
intra uterine
infectionfetomaternalsistemik septic
syok†
 Fetal inflammatory response syndrom :
Chorioamnionitis damage of CNS:
periventricular white matter lesion
(Leukomalasia) mediated through an
intense CNS inflammatory response
Citokynes DAMAGE!!! CP
SIGN of INFECTION
 Fever
 Leukocytosis
 Fundal tenderness
 Takikardi: Mother, fetal
 Abdominal pain, uterus pain if it is pressed
 Amnion : green, mould
 Hypoxia and asfiksia
 Presentation of the fetal PROM
Umbilical cord prolaps
 OligohidramnionUmbilical cord
compression Hypoxia + asphyxia
 Deformitas syndrome
 Growth restriction
 Compression to : Face, Limbs, pulmo
 Pulmonanary hypoplasia ec :
oligohidramnionextrinsic compression
disturbing thorax movement, blood
streamgrowth disturbed
Increasing SC

 Chorioamnionitis, endometriosis, fetal

distress SC!!!!
THANK YOU