Ep165: How Preterm Premature Rupture of Membranes (PPROM) Contributes to Preterm Birth

Birth With Power

Dr. Nicole C. Rankins

Parenting, Kids & Family

4.9 • 637 Ratings

🗓️ 7 June 2022

⏱️ 49 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

This is the 3rd episode in a series about preterm birth. The first episode, 163, was about risk factors for preterm birth. 164 was about preterm labor which accounts for 40-50% of preterm birth. That episode covered what preterm labor is, how to recognize it, and how it’s treated. In this episode you will learn about preterm premature (or prelabor) rupture of membranes (PPROM).

Approximately one third of preterm births are associated with PPROM. Prelabor rupture of membranes, or PROM, refers to membrane rupture before the onset of uterine contractions - when this occurs before 37 weeks it is called PPROM. In this episode we’ll get into how common PPROM is and how it can be treated. Though the cause is unknown, there are risk factors that you can be aware of and ways to manage it that improve outcomes for your baby.

In this Episode, You’ll Learn About:

-What PPROM is and how common it is

-What the risk factors are

-How it’s diagnosed - it’s not always straightforward

-What warning signs to look out for

-What questions your doctor might ask if you are concerned you’re experiencing PPROM

-How your doctor determines the clinical course

-What “expectant management” is

-What the outcomes for PPROM babies can be

Full website notes: drnicolerankins.com/episode164

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Transcript

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0:00.0	In this episode, you are going to learn about preterm premature rupture of membranes.
0:11.9	Welcome to the All About Pregnancy and Birth Podcast.
0:16.6	I'm Dr. Nicole Calloway Rankins, a board certified OBified OBGYN, who's been in practice for nearly 15 years.
0:23.2	I've had the privilege of helping over 1,000 babies into this world, and I'm here to help you be calm, confident, and empowered to have a beautiful pregnancy in birth.
0:34.9	Quick note, this podcast is for educational purposes only and is not a substitute
0:39.6	for medical advice. Check out the full disclaimer at Dr. Nicole Rankins.com forward slash disclaimer.
0:46.2	Now let's get to it.
0:51.1	Hey, if you're not getting the birth with power brief in your inbox each week, you are missing out.
1:00.1	It's my free newsletter with trusted tips, mindset shifts, and birth prep strategies to help you feel calm and confident without doom scrolling for answers. Go to Dr.Noclerenkins.com
1:14.4	forward slash email and get on the list. Hello there. Welcome to another episode of the podcast.
1:22.9	This is episode number 165. Thank you for being here with me today. So this is the third episode in a
1:31.8	series about preterm birth. The first episode, episode 163 was about risk factors for preterm birth.
1:39.7	Episode 164 was about preterm labor, which accounts for 40 to 50% of preterm birth.
1:48.3	And in that episode, you learn what it is, how to recognize it, how it's treated.
1:54.4	So definitely go back and listen to those two episodes if you haven't.
1:57.6	And in this episode, you're going to be learning about P-Prom, which stands for
2:01.8	pre-term premature rupture of membranes or pre-term pre-labor rupture of membranes. And that accounts
2:08.1	for about 20 to 30% of pre-term birth. So pre-term labor and P-prom together account for most
2:16.4	cases of preterm birth. So in this episode, you're going to learn
2:20.1	about risk factors for P-Prom. You're going to learn how we diagnose it. It's actually not always
2:26.0	straightforward. You learn about the management and then the typical clinical course of what happens
2:31.1	if your water breaks and your pre-term. Now, before we begin to the episode,
	...

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