Causes and treatment of premature rupture of membranes
Premature rupture of the bladder is especially dangerous in the early stages. But even with a full-term pregnancy, it can become disastrous for the child, if the mother lingers with hospitalization, the onset of labor is delayed. Let's talk about what premature rupture of the membranes of the root causes and what to do if the water begins to flow.
Most often, the causes of this pathology remain unclarified. However, it is believed that the provocators can become istmiko-cervical insufficiency (ICN) and various infections of the genital tract. At the first problem the cervix of the uterus begins to shorten and open much earlier than the child, which leads to a gradual movement of the child's present part of the body downwards, as a result of which the fetal bladder appears under pressure and tears. Contributing to the rupture can and pathogenic bacteria, viruses, which, figuratively speaking, corrode the shell of the bladder, provoking a premature discharge of amniotic fluid in a pregnant woman.
How can this be avoided? Immediately the answer arises - you should not allow infectious diseases, as well as any trauma to the cervix - the most common cause of ischemic-cervical insufficiency. However, sometimes this does not help, when the causes of the weakness of the cervix are hormonal imbalances.
But the development of the NIH can be prevented if the gynecologist visits in time. It is also mandatory to measure the length of the cervix using a vaginal sensor on ultrasound. Only in this way can you know its exact length. If it is less than 3 cm, then a woman can be offered 2 options: the installation of a pessary ring on the cervix or the imposition on the cervix of the uterus - this reduces the risk that premature rupture of the amniotic fluid will occur, the delivery will begin sooner, and the child will die. Special attention is paid by gynecologists to those women who had already been diagnosed with ICI in the past, or amniotic fluid in the early period.
What if the amniotic fluid starts to leak? First you need to make sure that this is it. This is best done in the doctor's office with a special test, for which a swab of the vagina is taken. If leakage is confirmed, further tactics are largely determined by the period of pregnancy. At a period of less than 22-24 weeks, unfortunately, it is more often recommended to cause premature birth, since the child's bearing, even up to 30-32 weeks, will be accompanied by a huge risk of infection of the membranes - and this is fatal to the fetus and threatens blood contamination for the mother.
If the gestation period is more than 28-30 weeks, doctors prescribe a course of antibiotic therapy to prevent infection, and treat as a preventive measure for premature birth (reduce the tone of the uterus, etc.). All this is done in a hospital environment under the close supervision of a doctor. Pregnancy is worn out as far as possible in order to give the child and his lungs time to ripen.
If the bladder ruptured within a month and less before the birth, then often the doctors decide the question of urgent delivery. If the contractions do not start on their own, the cervix is long and closed, special medication is given, after which the onset of labor is stimulated.