The management of spontaneous rupture of membranes is divided into measures taken to diagnose the condition, to prolong the pregnancy if before 34 weeks gestation, or to deliver the baby if after this stage.
Diagnosis involves a speculum being passed into the vagina to ascertain whether liquor is leaking. Confirmation is obtained by assessment of the lecithin to sphingomyelin ratio of the fluid or the Nitrazine test.
Measures before 34 weeks include:
Measures after 34 weeks include:
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