Obstetric and Gynecological Nursing - The Carter Center

3. Control head, keep it flexed, so small diameter is
emerges.
4. Get mother to breath the head out
5. Delivery the shoulder in anterior- posterior diameter and
lift up the posterior shoulder.
6. Perform episiotomy when the perineum is very tight
7.11 Premature Rupture of the Membrane
(PROM)
Premature rupture of the membranes (PROM) is defined as
the rupture of the chorion and amnion one hour or more
before the onset of labour. With PROM amniotic fluid leaks
form the vagina in the absence of contractions. If prolonged,
presents risks for both mother and fetus.
Etiologic and predisposing factors
The precise cause of PROM is unknown, and specific
predisposing factors have not been identified. However it is
known to be associated with
- Malpresentations
- Weak areas in the amnion and chorion
- Vaginal infection
- Incompetent cervix
215