Dear medical professional:
If, in the advent that my water should break before I start labor, and I am term, these are my requests:
1) As research has not shown an increase risk to my baby, I will stay at home for the first 18 hours, until labor starts.
2) I may come in for a non-stress test, but will then go back home, if labor has not started.
2) I will monitor my temperature and other signs of infection at home. I will come in if these are noted.
3) If after 18 hours I have not given birth, I will come in to have antibiotics.
4)When I do come in, I request no vaginal checks.
5) If you need to confirm that my water has broken, please allow me to use the nitrozine paper to check.
6) I request intermittant monitoring according to ACOG guidelines.
7) If, after 24 hours, my baby is not born, we will discuss another plan.
References:
http://www.midwife.org/index.asp?bid=59&cat=3&button=Search&rec=233
If, in the advent that my water should break before I start labor, and I am term, these are my requests:
1) As research has not shown an increase risk to my baby, I will stay at home for the first 18 hours, until labor starts.
2) I may come in for a non-stress test, but will then go back home, if labor has not started.
2) I will monitor my temperature and other signs of infection at home. I will come in if these are noted.
3) If after 18 hours I have not given birth, I will come in to have antibiotics.
4)When I do come in, I request no vaginal checks.
5) If you need to confirm that my water has broken, please allow me to use the nitrozine paper to check.
6) I request intermittant monitoring according to ACOG guidelines.
7) If, after 24 hours, my baby is not born, we will discuss another plan.
References:
http://www.midwife.org/index.asp?bid=59&cat=3&button=Search&rec=233
6 comments:
Hmmmm, I believe this should be called " Rupture of Membranes" since you're at term. (premature being pre-term)
Great post!
Actually "Premature rupture of membranes (PROM)" refers to the rupture of membranes without the onset of labor. The term for ROM in a preterm woman without the onset of labor is "Preterm premature rupture of membranes (PPROM)"
@Lyndsay - thank you for the clarification! I made my comment based on my own experiences (first baby was PPROM, second was SROM at 37 weeks - and that's how the hospitals labelled them so that's where I got my definitions). I am now reading (attempting to find sites with correct info) and getting educated about the distinctions between PROM and SROM.
I just noticed that (due to my bad choice of punctuation to emphasize a word) the word Spontaneous was omitted from my original comment.
The original comment should have said:
Hmmmm, I believe this should be called "Spontaneous Rupture of Membranes" since you're at term. (premature being pre-term)
:-)
Lydsay, your right, but don't feel bad Nancy...they are confusing terms and I don't think all the literature really uses the terms correctly.
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