![]() ![]() Some physicians are concerned that not performing a digital examination may lead to the misdiagnosis of advanced preterm labor with imminent delivery, which has important implications for patients who require transfer to a tertiary care center however, a prospective comparison 17 found that the difference between digital and speculum examinations was not clinically significant. 16 Shortening of the latent period may lead to increased infectious morbidity and sequelae from preterm labor. 14, 15 Digital cervical examinations also cause an average nine-day decrease in the latent period. When preterm PROM is suspected, it is important to avoid performing a digital cervical examination such examinations have been shown to increase morbidity and mortality. The physician should perform a speculum examination to evaluate if any cervical dilation and effacement are present. Corticosteroids can reduce many neonatal complications, particularly intraventricular hemorrhage and respiratory distress syndrome, and antibiotics are effective for increasing the latency period. Treatment varies depending on gestational age and includes consideration of delivery when rupture of membranes occurs at or after 34 weeks’ gestation. Speculum examination to determine cervical dilation is preferred because digital examination is associated with a decreased latent period and with the potential for adverse sequelae. ![]() Appropriate evaluation and management are important for improving neonatal outcomes. ![]() It can lead to significant perinatal morbidity, including respiratory distress syndrome, neonatal sepsis, umbilical cord prolapse, placental abruption, and fetal death. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. As tempting as it may be to make it smell better, it’s a good idea to stay away from sprays, scented panty liners, or other feminine hygiene products when pregnant.Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks’ gestation. Wear cotton underwear and comfortable pants. So, yes, vaginal discharge is not the most pleasant thing in the world, but it is perfectly natural and you can keep it under control by making sure you’re clean and dry down there. You should call your healthcare provider right away, as this could be a sign of infection. If this happens, call your healthcare provider to check in and figure out your next step, which your healthcare provider will determine based on how far along you are. Your water broke! You’ll probably be ready for this after frequent contractions, but only about 8% of women actually experience this before contractions start. A sudden rush of colorless, odorless fluid This is probably part of your mucus plug, which is essentially a stopper for the opening of your cervix, and is one of the first indicators that you are going into labor. This may be a sign of premature labor, so you should look out for other signs and symptoms, and consult your provider if concerned, or if the discharged is accompanied by other signs of premature labor, including cramps, back ache, or contractions, or if the discharge is blood-tinged. The odorless nature of this discharge differentiates it from urine, with which it is commonly confused. It’s important that you get into contact with your healthcare provider immediately if you think your amniotic sac has ruptured. This could be a sign that your amniotic fluid is leaking, which is a very serious concern since it is the supportive environment for your baby’s development. It is heavier during pregnancy due to an increase in estrogen and blood flow to the vagina. This is just a collection of normal secretions from the cervix and vagina, which you experience year-round. Standard leukorrhea, which is a fancy word for vaginal discharge. The flow shouldn’t be very heavy until you go into labor, but here are some interpretations if your discharge is: Whitish and mild-smelling It’s very important that you use panty liners rather than tampons to absorb the fluid, since tampons could cause Toxic Shock Syndrome or tears that lead to infection. Not exactly the most pleasant word or idea to ever cross your mind, but it’s actually a useful way for your body to communicate with you as you approach your delivery date. ![]()
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