Prelabour Rupture of Membranes at Terms (450) | Right Decisions

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Common obstetric problems, intrapartum labour ward
Prelabour Rupture of Membranes at Terms (450)

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Spontaneous rupture of membranes after 37+0 gestation and before the onset of regular uterine contractions. Complicates 5-10% of all pregnancies.

It is associated with increased incidence of malpresentation (eg breech) and malpositions (eg OP)

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Last reviewed: 25/03/2020

Next review date: 21/09/2022

Author(s): Julie Murphy.

Version: 3

Approved By: Obstetrics Clinical Governance Group

Document Id: 450

References

Hannah ME et al. Induction of labour compared with expectant management for prelabour rupture of the membranes at term. NEJM 1996; 334:1005-1010.
Mozurkewich EL & Wolf FM. Premature rupture of membranes at term: a meta-analysis of three management schemes. Obstet Gynecol 1997; 89(6):1035-43.
Dare MR et al. Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). Cochrane Database of Systematic Reviews 2006 Jan 25;(1):CD005302.
NICE. Intrapartum care for healthy women and babies. Recommendation 1.11 Prelabour rupture of membranes at term. [CG190) December 2014, last updated February 2017.