What is the risk of infection with premature preterm rupture of membranes (PPROM) in the second trimester?

Updated: Dec 11, 2017
  • Author: Allahyar Jazayeri, MD, PhD, FACOG, DACOG, FSMFM; Chief Editor: Carl V Smith, MD  more...
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Answer

Answer

The risk of infection increases with the duration of PPROM. Outpatient management of PPROM prior to viability is appropriate in the well-informed and educated patient. The patient needs to be informed of warning signs that indicate the need for immediate evaluation. These signs include fever, abdominal pain, vaginal spotting, foul-smelling discharge, and rapid heart rate. The woman should monitor her temperature at home at least 3 times daily and report any elevation beyond 100.4°F (38°C). Frequent examinations are necessary to ensure maternal safety. Patients must be educated about the warning signs of intra-amniotic infection, and they must take their temperature 3 times a day at home. After viability is reached, inpatient management needs to be considered.


Source Article: Premature Rupture of Membranes: PPROM in the Second Trimester

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