Controversial issues in Midwifery Practice: Prelabor rupture of membranes

Masters
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Nursing
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Running head: THE ROLE OF THE MIDWIFE AND PRELABOUR RUPTURE OF MEMBRANES The Role of the Midwife and Prelabour Rupture of Membranes (37+weeks): Critical Analysis [STUDENT NAME] [COURSE NAME] [DATE] Abstract This paper analyses the literature on prelabour rupture of membranes for term pregnancies (37+ weeks)…

Introduction

The Role of the Midwife and Prelabour Rupture of Membranes (37+weeks): Critical Analysis The premature rupture of membranes (PROM) at term is the rupture of the membranes before labour has commenced at any time after the 37th of gestation. It is estimated that PROM occurs in 10% of normal pregnancies (Hannah, Ohlsson, Farine et al. 1996). The symptoms include leakage of fluid, a vaginal discharge, bleeding from the vagina, and in some cases pressure on the pelvis. These symptoms are combined with the absence of contractions. Although there are a few tests to determine ROM there are some like any blood contamination of Nitrazine paper that can cause a false-positive result (Hannah, Ohlsson, Farine et al. 1996). The most effective determination of ROM is from an internal examination that finds the pooling of fluid in the vaginal cavity, or a leakage of fluids from the cervix. This internal examination can be confirmed with an ultrasound that will show the level of amniotic fluid in the uterus. ...
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