Which exams are performed and which should be avoided following premature rupture of membranes (PROM)? One of my teens’ friends just used these great yard signs. He decorated the lawn while she was sleeping. One of the most crucial parts of this master plan is making sure you have an IN with your future homecoming date’s friend group (prom date’s friend group) that you can rely on to help you with all of the following: What is the role of amniocentesis in the management of premature preterm rupture of membranes (PPROM)? Practice carrying your sign: Make sure you can comfortably carry and maneuver your sign before the big night to avoid any mishaps.

Studies show that people who deliver within 24 hours of membrane rupture have a lower risk of infection than those who deliver after 24 hours. This risk is compared with the risks of prematurity. Your doctor will be able to help you make the best decisions for you and your baby. How long can you stay pregnant with ruptured membranes? While prom signs can be a fun and memorable addition to your prom night, there have been instances where things didn’t go as planned. To avoid any mishaps, here are a few common prom sign fails and how to avoid them: There isn’t a way to prevent PROM. The best thing you can do is avoid smoking cigarettes, maintain a healthy pregnancy and attend all of your prenatal exams. Using tobacco is a risk factor for developing PROM (as well as other pregnancy complications). Risk factors for PROM and preterm PROM Farooqi A, Holmgren PA, Engberg S, Serenius F. Survival and 2-year outcome with expectant management of second-trimester rupture of membranes. Obstet Gynecol. 1998 Dec. 92(6):895-901. [QxMD MEDLINE Link].

Nonreassuring fetal status and chorioamnionitis are indications for delivery. If the patient presents with vaginal bleeding, there may be a concern for a placental abruption and delivery should be considered. The decision for delivery should be made based on fetal status, amount of bleeding, the stability of mother, and gestational age. In a term patient, if spontaneous labor does not occur near the time of presentation, labor should be induced. Expectant management (invery fewcases of PPROM, the membranes may seal over and the fluid may stop leaking without treatment, although this is uncommon unless PROM was from a procedure, such as amniocentesis, early in gestation) So it might be smart to enlist a close friend of yours or a parent to help you snag that perfect Insta to let everyone know that you did it and that you have a date to the dance! Mercer BM. Preterm premature rupture of the membranes: diagnosis and management. Clin Perinatol. 2004 Dec. 31(4):765-82, vi. [QxMD MEDLINE Link]. Movies and TV shows have long been a source of inspiration for prom-goers. Here are a few iconic prom sign moments that you can draw inspiration from:

It’s important to note that just because you can’t feel contractions, your body is still preparing for labor. This means your uterus may be contracting, and your cervix may be thinning ( effacing) and dilating (opening) without you feeling anything. This can cause the amniotic sac to weaken and eventually rupture. Hannah ME, Ohlsson A, Farine D, et al. Induction of labor compared with expectant management for prelabor rupture of the membranes at term. TERMPROM Study Group. N Engl J Med. 1996 Apr 18. 334(16):1005-10. [QxMD MEDLINE Link]. Once you know who you are asking and where they will be, it’s crunch time and you’ll want to make that homecoming proposal sign with all of your DIY craft supplies (well mom’s stash of craft stuff!) Inappropriate messages: Be mindful of the message you choose for your sign. Avoid anything offensive or inappropriate that could cause discomfort or embarrassment.If you’re not the DIY type or simply don’t have the time to create your own prom sign, there are plenty of vendors who specialize in creating customized signs for prom. Here are a few places where you can find them: As a mom with both boys and girls in their teen years, let me tell you—I’m learning something new every day. Seriously, there’s no guidebook for this stuff, and each one of you is a whole different chapter! Find a relevant hashtag like #hocoproposal #hocodate #Hoco2022 #HomeComingProprosal, # PromPosal, etc.

Vergani P, Ghidini A, Locatelli A, et al. Risk factors for pulmonary hypoplasia in second-trimester premature rupture of membranes. Am J Obstet Gynecol. 1994 May. 170(5 Pt 1):1359-64. [QxMD MEDLINE Link]. Sign malfunctions: Make sure your sign is securely attached to its base or handle to avoid any accidents. The last thing you want is for your sign to fall apart or break during your grand entrance. What is the role of antibiotics in the management of premature preterm rupture of membranes (PPROM)? The biggest concern with PROM is premature birth. Premature birth is when your baby is born before 37 weeks of pregnancy. Complications from premature birth include breathing difficulties, low body temperature and poor growth. Some premature infants also have developmental delays later in life. Pasquier JC, Bujold E. A systematic review of intentional delivery in women with preterm prelabor rupture of membranes. J Matern Fetal Neonatal Med. 2007 Jul. 20(7):567-8. [QxMD MEDLINE Link].

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Ekin A, Gezer C, Kulhan G, et al. Can platelet count and mean platelet volume during the first trimester of pregnancy predict preterm premature rupture of membranes?. J Obstet Gynaecol Res. 2014 Aug 11. [QxMD MEDLINE Link].

The more you network through your homecoming date friends the more fun and creative homecoming proposal ideas can be. #HocoProposal

Maternal and Fetal Surveillance

Whatever you have time for and whatever your budget is, there’s something out there to help you with the Homecoming proposal, and I am sure you see that!