Premature Rupture of Membrane 케이스스터디 영어

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1. Premature Rupture of Membrane

Premature rupture of membrane (PROM)은 임신 37주 이전에 양막이 파열되는 것을 말합니다. 이는 감염, 염증, 흡연, 자궁 팽만 등의 원인으로 발생할 수 있습니다. 증상으로는 양수 누출, 발열, 복통, 태아 빈맥 등이 있습니다. 이 환자의 경우 34주 6일에 PROM이 발생했고, 쌍둥이 임신과 탯줄 탈출이 동반되어 응급 제왕절개술을 받았습니다. 간호사는 통증 관리, 불안 감소, 감염 예방 등의 간호를 제공해야 합니다.

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1. Premature Rupture of Membrane

Premature rupture of membranes (PROM) is a serious obstetric condition that occurs when the amniotic sac breaks before the onset of labor. This can happen at any time during pregnancy, but it is most common in the later stages, particularly after 37 weeks of gestation. PROM can lead to a variety of complications for both the mother and the baby, including increased risk of infection, preterm birth, and umbilical cord prolapse. The exact cause of PROM is not fully understood, but it is believed to be related to a weakening or thinning of the amniotic membranes. Factors that may contribute to PROM include infection, cervical incompetence, uterine abnormalities, and certain medical conditions such as diabetes or hypertension. When PROM occurs, it is important for the healthcare provider to carefully monitor the mother and baby, and to take appropriate action to manage the situation. This may involve administering antibiotics to prevent infection, inducing labor if the baby is mature enough, or performing a cesarean section if necessary. In some cases, PROM can be managed conservatively, with the healthcare provider closely monitoring the mother and baby and waiting for labor to begin naturally. However, this approach carries a higher risk of complications and is generally only recommended in certain circumstances, such as when the baby is not yet mature enough for delivery. Overall, PROM is a serious condition that requires prompt and appropriate medical intervention to ensure the best possible outcome for both the mother and the baby. Healthcare providers must be vigilant in identifying and managing PROM, and patients must be educated about the signs and symptoms of this condition so that they can seek medical attention as soon as possible.