What is EMR? How is Premature Membrane Rupture Recurring?

Amniotic fluid is formed in the uterus to protect the baby from external factors, to move more easily, to keep the body temperature constant and to develop the respiratory system.. This fluid is contained in the amniotic sac.. If this sac is torn before birth, this will cause water to come out.. This condition is called premature rupture of membranes (EMR).. If the membrane sac ruptures before the 37th week of pregnancy, this condition is called premature EMR (PPROM).. This is seen in 10% of pregnant women in the world.. Premature birth occurs when this premature rupture occurs.

What Causes Premature Membrane Rupture ?

The exact cause of premature rupture of membranes is unknown, but the factors that may cause rupture may be: :

  • Mother’s lack of regular nutrition,
  • Mother’s poor economic status,
  • Mother’s cervical insufficiency,
  • strong>

  • Problems in the placenta in the womb,
  • A blow to the mother’s womb,
  • stitching in the cervix in the mother (uterine cancer surgery reasons),
  • Mother’s smoking or alcohol use,
  • Mother’s uterus problems,
  • The baby has a developmental disorder (placental abnormalities),
  • Excessive stretching of the uterus as a result of multiple pregnancy,
  • Amniocentesis,                  
  • z Having problems in the structure of the back,

  • Infection in the cervix and vagina in the mother,
  • Structural problems in the baby,
  • In the mother Premature rupture of the membrane in a previous pregnancy,
  • Urinary or genital problems in the mother may cause premature rupture of the membranes.
  • What are the Symptoms of Early Membrane Rupture?

    Even though the symptoms of premature rupture of membranes vary from person to person, the general symptoms are as follows:

    Sudden flow of fluid in the vagina: Vaginal discharge as a result of contractions at any time of pregnancy before the birth has started. similar discharge may be a sign of premature rupture of membranes. This liquid may be too little or too dense.. Although the color of the liquid is yellow, it may contain pieces of white vernix caseosa (the creamy protective substance that covers the baby’s body in the womb).. Experiencing contractions after fluid is a sign of the onset of labor. Therefore, in such a case, you should go to the doctor immediately.

    How to Diagnose Premature Membrane Rupture?

    Vaginal speculum made by the doctor when the expectant mother consults a doctor as a result of sudden discharge of fluid. Easily diagnosed by examination. In this examination, this fluid sample is taken and examined.. As a result of this examination, if the pH paper shows that the fluid is alkaline, the diagnosis of Premature Membrane Rupture (EMR) is made.

    Other tests that can be done are:

  • Fetal fibronectin in vaginal fluid or Checking the AFP value,
  • Examination of the fluid surrounding the baby with ultrasound,
  • Checking whether water comes out of the cervix,
  • Ferning and nitrazine test (indicates whether the incoming fluid belongs to the baby)
  • How to Treat Early Membrane Rupture

    Last Pregnancy Premature rupture of the membranes that occur during pregnancy, that is, at the time close to birth, is an indication that the birth will begin within 24 hours.. In this case, it is necessary to wait for the completion of the baby’s development.. However, if the baby is older than 34 weeks, delivery can be made because his lungs are sufficiently developed.. there is no problem. In this case, if the mother still has not started normal labor after 24 hours after the water comes, the doctor starts antibiotic treatment and the birth is started by giving artificial pains.

    Leave a Comment

    Your email address will not be published.

    You may also like