(PROM) Nursing Care Plan &
Management
Description
▪ PROM is rupture of the chorion and amnion 1 hour or
more before the onset of labour. The gestational age of
the foetus and estimates of viability affect
management.
Aetiology
▪ The precise cause and specific predisposing factors
are unknown.
Pathophysiology
1. PROM is associated with malpresentation, possible
weak areas in the amnion and chorion, subclinical
infection, and, possibly, incompetent cervix.
2. Basic and effective defines against the foetus
contracting an infection is lost and the risk of
ascending intrauterine infection, known as
chorioamnionitis, is increased.
3. The leading cause of death associated with PROM is
infection.
4. When the latent period (time between rupture of
membranes and onset of labour) is less than 24
hours, the risk of infection is low.
Assessment Findings
1. Clinical manifestations