Biomaterial Database

Premature rupture of the membranes with routine cervical exams. 1990

K Jenniges, and L Evans

Utah Valley Certified Nurse-Midwives, Orem.

Premature rupture of the membranes at term occurs frequently in otherwise uncomplicated pregnancies. Several theories have been postulated as to the cause of this complication, including the practice of routine prenatal cervical examinations. A randomized prospective study was done to determine if prenatal cervical exams did increase the risk of premature rupture of the membranes. Fifty-six women were examined intracervically every week from 37 weeks' gestation until delivery, and 45 women received no cervical examinations until labor began. Premature rupture of the membranes occurred in ten women (18%) who were examined and in six women (13%) who were not. There was no statistically significant difference between the two groups of women, leading to the conclusion that prenatal cervical examinations do not cause an increase in the frequency of premature rupture of the membranes.

UI	MeSH Term	Description	Entries
D009721	Nurse Midwives	Professional nurses who have received postgraduate training in MIDWIFERY.	Nurse-Midwife,Nurse-Midwives,Nurse Midwife
D010808	Physical Examination	Systematic and thorough inspection of the patient for physical signs of disease or abnormality.	Physical Exam,Examination, Physical,Physical Examinations and Diagnoses,Exam, Physical,Examinations, Physical,Exams, Physical,Physical Examinations,Physical Exams
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D011295	Prenatal Care	Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality.	Antenatal Care,Care, Antenatal,Care, Prenatal
D002584	Cervix Uteri	The neck portion of the UTERUS between the lower isthmus and the VAGINA forming the cervical canal.	Cervical Canal of the Uterus,Cervical Canal, Uterine,Ectocervix,Endocervical Canal,Endocervix,External Os Cervix,External Os of the Cervix,Uterine Cervical Canal,Cervix,Cervixes,Uterine Cervix,Canal, Endocervical,Canal, Uterine Cervical,Cervix, External Os,Cervix, Uterine,Endocervical Canals,Uterine Cervical Canals
D003625	Data Collection	Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.	Data Collection Methods,Dual Data Collection,Collection Method, Data,Collection Methods, Data,Collection, Data,Collection, Dual Data,Data Collection Method,Method, Data Collection,Methods, Data Collection
D005260	Female		Females
D005322	Fetal Membranes, Premature Rupture	Spontaneous tearing of the membranes surrounding the FETUS any time before the onset of OBSTETRIC LABOR. Preterm PROM is membrane rupture before 37 weeks of GESTATION.	Premature Rupture of Membrane (Pregnancy),PROM (Pregnancy),Premature Rupture of Fetal Membranes,Preterm PROM (Pregnancy),Preterm Premature Rupture of Fetal Membranes,Membrane Premature Rupture (Pregnancy),Membrane Premature Ruptures (Pregnancy),PROM, Preterm (Pregnancy)
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults