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Pregnancy and Childbirth: The answers

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PPROM: Potential postnatal complications

The main concern after a delivery preceded by prolonged membrane rupture is infection. Also, there is increased incidence of excessive postpartum hemorrhage (blood loss).

 

The causes of these complications are poorly understood. In some cases, they have been associated with pre-existing vaginal infection. Cigarette smoking is considered a risk factor.

 

In the vast majority, no cause or associated factor can be identified. This is one area where medical research is very active.

 

Recurrence of preterm rupture of membranes

It is estimated that 1 in 5 to 1 in 3 (20 – 32%) of women who experience preterm pre-labor rupture of membranes (PPROM) will experience the same complication in a subsequent pregnancy.

 

Spontaneous self-repair of membranes

The idea of membranes that had ruptured re-sealing is attractive. However, in all probability, this never happens. There is certainly no hard evidence that such an occurrence has ever taken place.