If a woman at 24 weeks gestation period has had a rupture of membranes (breaking of the amniotic sac) along with maternal fever, it is likely that she might have premature labor.
There is a high chance for infection since the open membranes harbor bacteria which can enter the womb. Also, the loss of water (amniotic fluid) can affect the growth of the lungs and the body formation of the fetus.
The first step after reaching the hospital will be to check if there is a PROM (premature rupture of membranes) and if the amniotic fluid is leaking from the vagina. For this, many tests can be performed like the Sterile speculum exam, Nitrazine test, Pooling test etc. An Ultrasound is also performed, along with other Immune-chromatological tests.
If the PROM is positive, it is likely that the baby, weighing almost 750 gms, will be delivered within the next 24 hours.
