Could A Gush Of Clear Fluid, Mild Contractions, Polyhydramnios, And A Cervical Dilation Be Premature Rupture Of Membranes At 35 Weeks?
A multipara woman at 35 weeks gestation presents to the labor floor after experiencing a gush of clear fluid one hour ago. She complains of mild uterine contractions that occur every 5 minutes. Her prenatal course has been complicated by diabetes mellites and polyhydramnios. Her pelvic exam reveals 5cm, -3, 80%, anterior, and moderate. She said: I was afraid that my water broke, and my baby will be premature and start crying. Her external fetal monitoring reveals the following tracing: