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PPROM causes one-third of all preterm births. [22] PROM provides a path for disease-causing organisms to enter the womb and puts both the mother and baby at risk for infection . Low levels of fluid around the baby also increase the risk of umbilical cord compression and can interfere with lung and body formation of the baby in early pregnancy.
Preterm premature rupture of membranes (PPROM) is when water breaks both before the onset of labor and before the pregnancy's 37 week gestation. [3] [4] In the United States, more than 120,000 pregnancies per year are affected by a premature rupture of membranes, which is the cause of about one third of preterm deliveries. [5]
760 Fetus or newborn affected by material conditions which may be unrelated to present pregnancy. 760.7 Noxious influences affecting fetus or newborn via placenta or breast milk. 760.71 Fetal alcohol syndrome; 760.72 Exposure to narcotics, perinatal; 760.75 Exposure to cocaine, perinatal; 761 Fetus or newborn affected by maternal complications ...
If PROM occurs within the first 37 weeks of pregnancy, it is termed preterm premature rupture of membranes (PPROM). PROM itself has many causes and risk factors. When PROM occurs along with vaginal bleeding in the second trimester of pregnancy, it is suspected that a mother likely has a circumvallate placenta. [1]
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
During the third trimester of pregnancy, thinning of the lower uterine segment or contractions caused by cervical dilation can increase the amount of stress placed on the placental attachment to the uterine wall. In patients with placenta praevia, these stresses can cause detachment of the placenta from the uterine wall causing haemorrhaging.
1. To induce labor or augment uterine activity, despite evidence showing lack of effectiveness. A 2013 Cochrane Review concluded, that "the evidence showed no shortening of the length of first stage of labour and a possible increase in caesarean section. Routine amniotomy is not recommended as part of standard labour management and care."
Generally, diseases outlined within the ICD-10 codes O00-O99 within Chapter XV: Pregnancy, childbirth and the puerperium should be included in this category. v t