Friday, September 12, 2014

PROM - Premature Rupture of Membranes

Premature rupture of membranes does not have to be an emergency. 

Susan had PROM which, if handled by an attendant, would have necessitated pitocin induction in a hospital.  The medical standard is that you should not have ruptured membranes for more than 24 hours without onset of labor due to the fear of infection.  However, Susan showed that it is definitely possible to have a safe birth and a healthy baby when more than 24 hours has elapsed.  In her words, "My mucus started coming out at 35 weeks (so i never had any 'bloody show'), my water started leaking at 36 weeks and actually broke at 36 1/2 weeks.  We tried some 'natural' induction methods but they had very little effect, if any, so i guess she just wasn't ready :)  I spent the 9th month waiting, being very wet, drinking lots of water and not taking baths, etc."

Susan was 42 years old at the time of the birth, and had a very painful autoimmune disease.  Her waters were ruptured for 3 weeks prior to her birth.  She took very good care of herself so that there was no chance of infection.

Practical suggestions would be:

Do not have sexual relations during this period, or put ANYTHING into the vagina, to avoid infection. (Although after labor is well established, sexual relations is encouraged  for its ability to help speed labor along. 

Take showers, not baths so that there is no chance of anything getting up into the uterus and causing infection.

Resist the temptation to check the cervix for dilation.

Change feminine pads or other absorbent material used to soak up leaking amniotic fluid on a frequent basis.

Drink LOTS of water.  Even though the fluid keeps leaking out, your body will keep producing it if you continue to consume enough fluid.  You may have to consume quite a bit more than you normally would because it is being constantly replaced.
It wouldn't hurt to take some extra Vitamin C, and some electrically-generated colloidal silver to help prevent infection.

The mother should take her temperature several times a day; elevated temperature could signal possible infection.  If the temperature becomes elevated, and labor does not seem imminent, transfer to the hospital is a possible consideration.

Intuitively check in with the baby and your body on a daily basis.  This will be one of the first things to alert you if there is an actual danger. 

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