What is the primary concern regarding prolonged rupture of membranes?

The primary concern regarding prolonged rupture of membranes is the risk of infection. When membranes rupture, the protective barrier that surrounds the fetus is compromised, which can lead to the introduction of bacteria into the uterine environment. This can increase the risk of chorioamnionitis, an infection of the amniotic fluid and membranes, and can also pose a risk to the mother, increasing the likelihood of complications such as sepsis.

Infection can have serious consequences, including preterm birth, maternal fever, and fetal distress. As the duration between the rupture and the onset of labor increases, so does the risk of developing an infection. Therefore, careful monitoring and management are essential following membrane rupture to minimize this risk and ensure the safety and health of both the mother and infant.