{"id":41346,"date":"2026-02-07T11:00:00","date_gmt":"2026-02-07T14:00:00","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=41346"},"modified":"2026-02-02T09:25:35","modified_gmt":"2026-02-02T12:25:35","slug":"rpmo","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/","title":{"rendered":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-1024x576.jpg\" alt=\"\" class=\"wp-image-41350\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A<strong> RPMO<\/strong> \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. O manejo exige um equil\u00edbrio delicado entre prolongar a gesta\u00e7\u00e3o (para maturidade fetal) e evitar a sepse (risco materno-fetal).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fisiopatologia-e-fatores-de-risco\"><strong>Fisiopatologia e Fatores de Risco<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A principal causa \u00e9 a <strong>Infec\u00e7\u00e3o Vaginal Ascendente<\/strong> (ex: vaginose, Streptococcus B, gonococo), que gera inflama\u00e7\u00e3o local e enfraquecimento das membranas.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"264\" height=\"224\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5.jpeg\" alt=\"\" class=\"wp-image-41347\" style=\"aspect-ratio:1.1786536449250087;width:560px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5.jpeg 264w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5-150x127.jpeg 150w\" sizes=\"auto, (max-width: 264px) 100vw, 264px\" \/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0037-86822000000500007\">https:\/\/doi.org\/10.1590\/S0037-86822000000500007<\/a>\u00a0<br><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Outros fatores importantes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mec\u00e2nicos:<\/strong> Sobredistens\u00e3o uterina (polidr\u00e2mnio, macrossomia, gemelaridade) e Incompet\u00eancia Istmocervical.<\/li>\n\n\n\n<li><strong>Cl\u00ednicos:<\/strong> Tabagismo, Placenta de inser\u00e7\u00e3o baixa e Infec\u00e7\u00e3o do Trato Urin\u00e1rio (ITU).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Diagn\u00f3stico: Precis\u00e3o \u00e9 Fundamental<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O diagn\u00f3stico \u00e9 cl\u00ednico e o <strong>Padr\u00e3o-Ouro<\/strong> \u00e9 o Exame Especular visualizando a sa\u00edda de l\u00edquido pelo colo (espont\u00e2nea ou com manobra de Valsalva).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-exames-subsidiarios-se-duvida-no-especular\"><strong>Exames Subsidi\u00e1rios (se d\u00favida no especular)<\/strong><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Cristaliza\u00e7\u00e3o do Muco:<\/strong> O l\u00edquido amni\u00f3tico seco em l\u00e2mina forma padr\u00e3o de &#8220;folha de samambaia&#8221;.<\/li>\n\n\n\n<li><strong>pH (Fita de Nitrazina\/Fenol Vermelho):<\/strong> O pH do l\u00edquido \u00e9 alcalino (> 6,5), virando a fita para azul.<\/li>\n\n\n\n<li><strong>Ultrassonografia:<\/strong> Evidencia oligodr\u00e2mnio (redu\u00e7\u00e3o do volume de l\u00edquido em compara\u00e7\u00e3o a exame anterior).<\/li>\n\n\n\n<li><strong>Testes Imunocromatogr\u00e1ficos:<\/strong> Detectam prote\u00ednas espec\u00edficas do l\u00edquido amni\u00f3tico.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conduta-detalhada-por-idade-gestacional\"><strong>Conduta Detalhada por Idade Gestacional<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Antes da Viabilidade (&lt; 24 semanas)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">O progn\u00f3stico \u00e9 reservad\u00edssimo devido \u00e0 hipoplasia pulmonar e deformidades de extremidades. H\u00e1 alto risco infeccioso materno.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Conduta:<\/strong> Oferecer interrup\u00e7\u00e3o da gesta\u00e7\u00e3o. Se o casal optar por manter, deve assinar um termo em prontu\u00e1rio.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Prematuro Vi\u00e1vel (24 a 34 semanas) &#8211; Conduta Expectante<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">O objetivo \u00e9 ganhar tempo com seguran\u00e7a.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Interna\u00e7\u00e3o e Repouso:<\/strong> Relativo. Hidrata\u00e7\u00e3o oral abundante (> 2,5L\/dia).<\/li>\n\n\n\n<li><strong>Monitoriza\u00e7\u00e3o Infecciosa:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Curva t\u00e9rmica e sinais vitais.<\/li>\n\n\n\n<li><strong>Laborat\u00f3rio:<\/strong> Hemograma e PCR a cada 2-3 dias.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Avalia\u00e7\u00e3o Fetal:<\/strong> USG com Doppler + Perfil Biof\u00edsico Fetal (PBF) 2x\/semana; Cardiotocografia di\u00e1ria.<\/li>\n\n\n\n<li><strong>Toc\u00f3lise:<\/strong> <strong>EVITAR<\/strong>. N\u00e3o se deve inibir o trabalho de parto na RPMO, pois pode mascarar uma infec\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Protocolos Medicamentosos:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Corticoterapia (Matura\u00e7\u00e3o Pulmonar):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Indicado at\u00e9 34 semanas.<\/li>\n\n\n\n<li><em>Op\u00e7\u00e3o 1:<\/em> <strong>Betametasona<\/strong> 12mg IM, a cada 24h (2 doses).<\/li>\n\n\n\n<li><em>Op\u00e7\u00e3o 2:<\/em> <strong>Dexametasona<\/strong> 6mg IM, a cada 12h (4 doses).<\/li>\n\n\n\n<li><em>Aten\u00e7\u00e3o:<\/em> O corticoide causa leucocitose transit\u00f3ria (especialmente nas primeiras 48h), o que pode confundir o diagn\u00f3stico de infec\u00e7\u00e3o.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Antibioticoterapia (Dupla Fun\u00e7\u00e3o):<\/strong>\n<ul class=\"wp-block-list\">\n<li><em>Para aumentar o per\u00edodo de lat\u00eancia (ganhar dias):<\/em> <strong>Amoxicilina<\/strong> 500mg 8\/8h (5 dias) + <strong>Azitromicina<\/strong> 1g (dose \u00fanica).<\/li>\n\n\n\n<li><em>Profilaxia para Streptococcus B (GBS):<\/em> <strong>Ampicilina<\/strong> 2g IV a cada 6h por 48 horas.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Neuroprote\u00e7\u00e3o:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Sulfato de Magn\u00e9sio<\/strong> Endovenoso.<\/li>\n\n\n\n<li>Indicado se gesta\u00e7\u00e3o $\\le$ 31 semanas e 6 dias com risco de parto iminente (dilata\u00e7\u00e3o $\\ge$ 4 cm).<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>A partir de 34 semanas<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">O pulm\u00e3o fetal j\u00e1 \u00e9 considerado maduro o suficiente, e o risco de infec\u00e7\u00e3o supera os benef\u00edcios de manter a gesta\u00e7\u00e3o.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Conduta:<\/strong> Resolu\u00e7\u00e3o da gesta\u00e7\u00e3o (Indu\u00e7\u00e3o ou Ces\u00e1rea).<\/li>\n\n\n\n<li><em>Nota:<\/em> Em servi\u00e7os com menor infraestrutura neonatal, pode-se individualizar a conduta expectante entre 34-36 semanas.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"693\" height=\"427\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5.png\" alt=\"\" class=\"wp-image-41348\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5.png 693w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5-300x185.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5-682x420.png 682w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-5-150x92.png 150w\" sizes=\"auto, (max-width: 693px) 100vw, 693px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-e-corioamnionite\"><strong>Complica\u00e7\u00f5es e Corioamnionite<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">As principais complica\u00e7\u00f5es incluem infec\u00e7\u00e3o, descolamento prematuro de placenta (DPP) e prolapso de cord\u00e3o.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Diagn\u00f3stico de Corioamnionite (Crit\u00e9rios Cl\u00ednicos)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A presen\u00e7a de Febre Materna isolada e sem outro foco j\u00e1 pode fechar o diagn\u00f3stico.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"819\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-1024x819.png\" alt=\"\" class=\"wp-image-41349\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-1024x819.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-300x240.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-768x614.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-525x420.png 525w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-150x120.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-696x556.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6-1068x854.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/image-6.png 1251w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Causas da corioamnionite. Fonte: <a href=\"https:\/\/www.lecturio.com\/pt\/concepts\/corioamnionite\/\">https:\/\/www.lecturio.com\/pt\/concepts\/corioamnionite\/<\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Outros sinais incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Taquicardia materna e fetal.<\/li>\n\n\n\n<li><strong>Leucocitose:<\/strong> > 20.000 ou aumento de 20% em rela\u00e7\u00e3o ao basal (lembrar de excluir o efeito do corticoide).<\/li>\n\n\n\n<li><strong>USG:<\/strong> Aus\u00eancia de movimentos respirat\u00f3rios no PBF.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Manejo da Corioamnionite<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnostico, interrompeu!<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Interrup\u00e7\u00e3o Imediata:<\/strong> Independente da idade gestacional.<\/li>\n\n\n\n<li><strong>Via de Parto:<\/strong> Prefer\u00eancia pela <strong>Via Vaginal<\/strong>.<\/li>\n\n\n\n<li><strong>Cuidados na Ces\u00e1rea:<\/strong> Se for inevit\u00e1vel, proteger as goteiras parietoc\u00f3licas com compressas \u00famidas e realizar lavagem peritoneal (risco alto de infec\u00e7\u00e3o da cavidade).<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><strong>O m\u00e9todo que te aprova!<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCofer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 35 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"\"><iframe loading=\"lazy\" title=\"RPMO - ROTURA PREMATURA MEMBRANAS OVULARES\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/bLq_ssT9WjE?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!<\/p>\n","protected":false},"author":21,"featured_media":41350,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[125],"tags":[],"ppma_author":[],"class_list":["post-41346","post","type-post","status-publish","format-standard","has-post-thumbnail","category-ginecologia-e-obstetricia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0\" \/>\n<meta property=\"og:description\" content=\"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-07T14:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/fe785b3af705d0d9e7a8dc31ff9a5e6d\"},\"headline\":\"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0\",\"datePublished\":\"2026-02-07T14:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/\"},\"wordCount\":730,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/02\\\/Blog-MedCof-2026-02-02T092401.721.jpg\",\"articleSection\":[\"Ginecologia e Obstetr\u00edcia\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/\",\"name\":\"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/02\\\/Blog-MedCof-2026-02-02T092401.721.jpg\",\"datePublished\":\"2026-02-07T14:00:00+00:00\",\"description\":\"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/02\\\/Blog-MedCof-2026-02-02T092401.721.jpg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/02\\\/Blog-MedCof-2026-02-02T092401.721.jpg\",\"width\":1920,\"height\":1080},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/rpmo\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/fe785b3af705d0d9e7a8dc31ff9a5e6d\",\"name\":\"Kiara Adelino\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"caption\":\"Kiara Adelino\"},\"description\":\"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/kiara-adelino\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/","og_locale":"pt_BR","og_type":"article","og_title":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0","og_description":"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2026-02-07T14:00:00+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg","type":"image\/jpeg"}],"author":"Kiara Adelino","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Kiara Adelino","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/"},"author":{"name":"Kiara Adelino","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/fe785b3af705d0d9e7a8dc31ff9a5e6d"},"headline":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0","datePublished":"2026-02-07T14:00:00+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/"},"wordCount":730,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg","articleSection":["Ginecologia e Obstetr\u00edcia"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/","name":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg","datePublished":"2026-02-07T14:00:00+00:00","description":"A RPMO \u00e9 a rotura das membranas ap\u00f3s 20-22 semanas e antes do in\u00edcio do trabalho de parto. Acesse o Blog MedCof e entenda melhor!","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/02\/Blog-MedCof-2026-02-02T092401.721.jpg","width":1920,"height":1080},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/rpmo\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Entenda os protocolos detalhados e manejo cl\u00ednico da Ruptura Prematura das Membranas Ovulares\u00a0"}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/fe785b3af705d0d9e7a8dc31ff9a5e6d","name":"Kiara Adelino","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","caption":"Kiara Adelino"},"description":"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.","url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/kiara-adelino\/"}]}},"authors":[{"term_id":3617,"user_id":21,"is_guest":0,"slug":"kiara-adelino","display_name":"Kiara Adelino","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/41346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=41346"}],"version-history":[{"count":1,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/41346\/revisions"}],"predecessor-version":[{"id":41351,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/41346\/revisions\/41351"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/41350"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=41346"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=41346"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=41346"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=41346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}