Prelabour rupture of the membranes
1. Big picture
Prelabour rupture of membranes (PROM) means the “waters break” before regular uterine contractions begin. The examiner wants one central idea:
PROM management is a balance between infection risk and prematurity risk.
So every answer should start with:
Confirm rupture → determine gestational age → check mother/fetus → exclude infection, cord prolapse, abruption, malpresentation → decide induction/delivery vs expectant management.
PROM at term is mainly an infection-prevention and induction decision. Preterm PROM is mainly a prematurity-versus-infection decision.
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