Fluid Leaking From Cervical in Obstetrics & Gynecology — 26yo Woman | General Gynecology | SMLE Q#11598

SMLE Question #11598

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old woman, G1P0, at 29 weeks’ gestation has a sudden gush of clear vaginal fluid followed by continuous leakage for 4 hours. She reports mild, irregular lower abdominal tightening. Sterile speculum examination shows pooling of clear fluid in the posterior fornix with fluid leaking from the cervical os; the cervix appears closed. Nitrazine testing is positive, and ferning is seen on microscopy. What is the most important potential maternal complication of this condition?

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