Amnioinfusion in Premature Rupture of Membranes at 24 Weeks of Gestation: A Case Report

Background: Premature rupture of membranes (PROM) before 37 weeks of gestation increases the risk of preterm labor, neonatal morbidity, and mortality. Management of PROM, particularly when complicated by oligohydramnios or abnormal fetal heart rate patterns, often involves amnioinfusion. This procedure aims to optimize the intrauterine environment and improve neonatal outcomes. This report investigates the role of amnioinfusion in the management of PROM at 24 weeks of gestation. Case Presentation: A 28-year-old G1P0000 woman presented with PROM at 24 weeks of gestation. Ultrasonography revealed a breech presentation with a fetal weight of 641 grams. The patient underwent amnioinfusion, resulting in stabilization of the fetal heart rate and a notable improvement in amniotic fluid volume, as evidenced by an increase in the amniotic fluid index (AFI). Conclusion: Amnioinfusion is a viable intervention for managing PROMin the mid-trimester, particularly in cases complicated by oligohydramnios or abnormal fetal heart rate. Early intervention may reduce complications such as preterm birth and fetal distress. Further studies are required to establish standardized protocols and better define patient selection criteria for this intervention.