Which complication is associated with PROM?

The correct answer highlights umbilical cord prolapse as a complication associated with premature rupture of membranes (PROM). When the membranes rupture before labor begins, this can create an opportunity for the umbilical cord to slip down ahead of the presenting part of the fetus in the birth canal. When the cord is compressed, it can lead to a decrease in blood flow and oxygen to the fetus, which is a critical situation requiring immediate medical attention.

Other complications linked to PROM include conditions such as oligohydramnios, where there is reduced amniotic fluid for the pregnancy. This can occur as fluid is lost after the membranes have ruptured. However, this condition is not as direct a complication of PROM as umbilical cord prolapse is. Gestational diabetes and placenta previa are unrelated complications that do not have a direct correlation with PROM. Gestational diabetes is related to how the body processes glucose during pregnancy, while placenta previa is characterized by the placenta being positioned over the cervix, neither of which are consequences of ruptured membranes. Hence, umbilical cord prolapse stands out as the most relevant complication linked to PROM.