Rupture of Membranes Quiz

Study Notes

Rupture of Membranes (ROM)

ROM occurs when the amniotic sac ruptures, releasing amniotic fluid.

Types of Rupture of Membranes

Spontaneous Rupture of Membranes: Occurs naturally at the onset of labor, without medical intervention.
Artificial Rupture of Membranes (Amniotomy): A medical procedure to intentionally rupture the amniotic sac to facilitate delivery.
Delayed Rupture of Membranes: Occurs during the expulsion phase of labor, after the cervix has fully dilated and effaced.
Abnormal Rupture of Membranes:
- Premature Rupture of Membranes (PROM): Rupture occurs before the onset of labor.
- Preterm Premature Rupture of Membranes (PPROM): Rupture occurs before 37 weeks of gestation.
- Prolonged Rupture of Membranes: Membranes are ruptured for an extended period before delivery.

Clinical Features

Characterized by a sudden "gush" of pale yellow or clear fluid from the vagina, which may also manifest as a continuous leaking sensation.

Diagnostics

Conduct a sterile speculum examination if ROM diagnosis is uncertain.
Suggested findings to confirm ROM include:
- Pooling of fluid in the vaginal canal.
- Positive litmus test or nitrazine test indicating pH changes.
- Presence of "ferning" patterns when fluid is dried on a microscope slide.

Description

Test your knowledge on the different types of rupture of membranes with this quiz. Learn about spontaneous rupture of membranes, artificial rupture of membranes (amniotomy), and delayed rupture of membranes. Challenge yourself to understand the differences and implications of each type.