Waters breaking early (PPROM)

Preterm prelabour rupture of membranes (PPROM) is when your waters break before 37 weeks of pregnancy. If this happens, you will need to get medical help straight away.

PPROM infographic

This page covers waters breaking early before 37 weeks. Read more about what to expect when your waters break after 37 weeks.

What is preterm prelabour rupture of membranes (PPROM)?

Your baby develops inside a bag of fluid called the amniotic sac. When your baby is ready to be born, the sac breaks and the fluid comes out through your vagina. This is your waters breaking. It is also known as rupture of the membranes.

Normally your waters break shortly before or during labour. If your waters break before labour at less than 37 weeks of pregnancy, this is known as preterm prelabour rupture of membranes or PPROM. If this happens, it can (but does not always) trigger early labour.

If your waters break early, the risks and treatment depend on your stage of pregnancy.

Is PPROM common in pregnancy?

PPROM happens in about 3% of pregnancies.

What causes PPROM?

We don’t always know why PPROM happens. But it may be caused by infection, or placental problems, such as placental insufficiency or a blood clot (haematoma) behind the placenta or membranes. Other risk factors may include if you:

It is important to remember that PPROM is not caused by anything you did or didn’t do in pregnancy.

How will I know if my waters have broken?

Your waters breaking may feel like a mild popping sensation, followed by a trickle or gush of fluid that you can’t stop, unlike when you wee. The amount of fluid you lose may vary. You may not have any sensation of the actual ‘breaking’, and then the only sign that your waters have broken is the trickle of fluid. It doesn’t hurt when your waters break.

You can read more about what to expect when your waters break.

What should I do if my waters break early?

If you think your waters may have broken, you should contact your midwife or labour ward and go to the hospital for a check-up straight away.

Amniotic fluid is clear and a pale straw colour. It may be a little pinkish if it contains some blood, or it may be clear. You must tell your healthcare professional if:

  • the waters are smelly or coloured
  • you are losing blood.

This could mean that you and your baby need urgent attention.

If you think that you are leaking fluid from the vagina, wear a pad not a tampon so your doctor or midwife can check the amount and colour of your waters.

“I had cervical incompetence and PPROM. I was put on hospital bedrest, antibiotics and had regular scans on the remaining water levels. Despite the antibiotics my infection markers were getting worse and I had to be induced at 24 weeks because they didn't think my baby would survive much longer in an infected womb. He survived birth, spent 7 months in hospital and then came home. He's now almost 5 years old and starting school in September.”

Rachel

What happens at the hospital?

When you arrive at hospital, your healthcare professional will assess you to see if your waters have broken. This will also include a check on your general health including your temperature, pulse and blood pressure. They will also check your baby’s heartbeat and may do a urine test to check for infection.

Your healthcare professional will talk to you about what has happened, how you are feeling and your pregnancy history.

How is PPROM diagnosed?

Your healthcare professional will likely ask to do an internal vaginal examination (they will ask for your permission before doing so).

You may have what’s called a speculum examination. This is when a small instrument covered in gel is inserted into the vagina. The healthcare professional will then be able to see if there is any fluid pooling in the vagina. They will also take a swab to test for infection and a swab to test for group B strep infection. This will help confirm if your waters have broken. This test isn’t painful but it can sometimes be uncomfortable.

If it isn’t clear from the speculum examination, they may do a swab test of the fluid. They may also do an ultrasound scan to estimate the amount of fluid around your baby.

What happens next?

If your waters have broken, you will usually be advised to stay in hospital where you and your baby will be closely monitored for signs of infection. This may be for a few days or maybe longer. You will have your temperature, blood pressure and pulse taken regularly, as well as blood tests to check for infection. Your baby’s heart rate will also be monitored regularly.

If your waters have not broken, you should be able to go home.

If only a very small amount of amniotic fluid is leaking, it is not always possible to see it during an examination and it can be difficult to confirm whether your waters have broken.

If you continue to leak fluid at home, you should return to the hospital for a further check-up.

What could PPROM mean for me and for my baby?

If your waters have broken early, your healthcare professional will discuss with you the possible outcomes for your baby. These will depend on how many weeks pregnant you are when this happens and your individual circumstances. 

Infection

The membranes form a protective barrier around the baby. After the membranes break, there is a risk that you may develop an infection. This can cause you to go into labour early or cause you or your baby to develop sepsis (a life-threatening reaction to an infection).

The symptoms of infection include:

  • a raised temperature
  • an unusual vaginal discharge with an unpleasant smell
  • a fast pulse rate
  • pain in your lower stomach.

Your baby’s heart rate may also be faster than normal. If there are signs that you have an infection, your baby may need to be born straight away. This is to try to prevent both you and your baby becoming more unwell. 

PPROM and premature birth

About 50% of women with PPROM will go into labour within 1 week after their waters break. The further along you are in your pregnancy, the more likely you are to go into labour within 1 week of your waters breaking. PPROM is associated with 3-4 out of every 10 premature births.

Babies born prematurely have an increased risk of health problems and may need to spend time a neonatal unit. Find out more about premature birth.

Cord prolapse

This is when the umbilical cord falls through your cervix into the vagina. This is an emergency complication and can be life-threatening for your baby, but it is uncommon.

Pulmonary hypoplasia

This is when your baby’s lungs fail to develop normally because of a lack of fluid around them. It is more common if your waters break very early on in pregnancy (less than 24 weeks) when your baby’s lungs are still developing.

Placental abruption

This when your placenta separates prematurely from your uterus. It can cause heavy bleeding and can be dangerous for both you and your baby. Find out more about placental abruption.

If you experience PPROM, sometimes your baby sadly may not survive. There is a higher risk of this happening if your waters break very early, if the baby is born very prematurely (under 24 weeks) or, in some cases, following infection or cord prolapse.

Are there any treatments for PPROM?

It is not possible to ‘fix’ or heal the membranes once they are broken. But you may be offered treatment to reduce the risks to your baby. This could include:

  • a short course of antibiotics to reduce the risk of an infection and delay labour
  • a course of steroid injections (corticosteroids) to help with your baby’s development and to reduce the chance of problems caused by being born prematurely
  • magnesium sulphate once you are in labour, which can reduce the risk of your baby developing cerebral palsy if they are born very premature.

If you do go into premature labour, you may be offered intravenous antibiotics (where the antibiotics are given through a needle straight into a vein) to reduce the risk of early-onset group B strep infection.

Do I need to stay in hospital?

You will usually be advised to stay in hospital for 5 to 7 days after your waters break, to monitor your and your baby’s wellbeing. You may be allowed to go home after that if you are not considered at risk for giving birth early.

When should I seek help if I go home?

Contact your healthcare professional and return to the hospital immediately if you experience any of the following:

  • raised temperature
  • flu-like symptoms (feeling hot and shivery)
  • vaginal bleeding
  • if the leaking fluid becomes greenish or smelly
  • contractions or cramping pain
  • abdominal pain or back pain
  • if you are worried that the baby is not moving as normalContact your midwife or maternity unit immediately if you think your baby’s movements have slowed down, stopped or changed.

You should be given clear advice on how to take your pulse and temperature at home. You’ll probably also be advised to avoid having sex during this time.

What follow-up should I have?

You should have regular check-ups with your healthcare professional (usually once or twice a week).

During these check-ups, your baby’s heart rate will be monitored, your temperature, pulse and blood pressure will be checked and you will have blood tests to look for signs of infection. Your doctor will work with you to make an ongoing plan for your pregnancy, including regular ultrasound scans to check on your baby’s growth.

Your mental health

Experiencing PPROM can be stressful and cause a lot of anxiety. Coping with new symptoms and complications in pregnancy can sometimes be overwhelming. You could try our top 10 tips to relax.

If you’re feeling low, talk to your partner, family or friends about how you are feeling. You can also talk to your midwife. You won’t be judged for how you feel. They will help you stay well so you can look after yourself and your baby. They may also be able to signpost you to more help and support if you need it.

You can also call the Tommy’s midwives for a free, confidential chat on 0800 014 7800 (Monday to Friday, 9am to 5pm), or email us at [email protected].

When is the right time to give birth?

If you and your baby are both well with no signs of infection, you may be advised to wait until 37 weeks to give birth. This is because it can reduce the risks associated with being born prematurely.

If you are carrying the GBS bacteria, then you may be advised to give birth from 34 weeks because of the risk of GBS infection for your baby.

Your healthcare professional will talk to you about what they think is best and ask you what you want to do. Don’t be afraid to ask as many questions as you need to in order to feel comfortable and able to make informed decisions about your care.

Will I be able to have a vaginal birth after PPROM?

This is possible, but it depends on when you go into labour, the position your baby is lying, and your own individual circumstances and choices.

Your healthcare professional will discuss this with you. 

Will I have PPROM again a future pregnancy?

Possibly. Having PPROM or giving birth prematurely means that you are at an increased risk of having a preterm birth in any future pregnancies, but it doesn’t mean that you definitely will.

You will probably have specialist care in your next pregnancy. If you are not offered specialist care, you can ask for it. Remember that you can always talk to your midwife if you have any concerns about your care.

Read more

  • Discharge in pregnancy

    Discharge in pregnancy

    Having more vaginal discharge during pregnancy is common, but speak to your midwife or doctor if you are unsure about any increase or change in your vaginal discharge.

Sources

Royal College of Obstetricians & Gynaecologists (2019) When your waters break prematurely https://www.rcog.org.uk/en/patients/patient-leaflets/when-your-waters-break-prematurely/

Dayal, S and Peter L. Hong, Peter L (2019) Premature Rupture of Membranes. StatPearls Publishing

Macdonald, Sue (2017) Mayes’ Midwifery. London, Elsevier Health Sciences UK

NHS Choices. Signs that labour has begun. https://www.nhs.uk/conditions/pregnancy-and-baby/labour-signs-what-happens/ (page last reviewed 09/11/2017 Next review due 09/11/2020)

NHS Choices. Premature labour and birth. https://www.nhs.uk/conditions/pregnancy-and-baby/premature-early-labour/ (page last reviewed 04/11/2019 Next review due 04/11/2022)

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    Last reviewed on July 8th, 2020. Next review date July 8th, 2023.

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    Comments

    Please note that these comments are monitored but not answered by Tommy’s. Please call your GP or maternity unit if you have concerns about your health or your baby’s health.
    • By Amy (not verified) on 13 Sep 2018 - 06:50

      Your baby has a very strong chance of surviving. Get on the phone with Mayo and try to find some other hospitals who support doing everything they can to bring your baby home. Not all doctors have the same optimism as others who show 26 weeks is a VERY viable age and baby can come home healthy.

    • By Ashley (not verified) on 2 Oct 2018 - 18:17

      Hi Sky. I’m currently admitted in the hospital. Have been here since my waters broke at 23 weeks. I am currently going on 29 weeks. They are very hopeful that baby will be fine. There are definitely risks that come with having a preterm baby, or having a baby that had low fluid. But, I really feel they should be preparing you for ALL outcomes. The NICU where I am come every week to update me on what a baby at that week would need, as far as support. I just wanted to encourage you to keep your head up. I wish you all the best.

    • By Charl (not verified) on 4 Oct 2018 - 13:13

      Hi,if it’s any help I had a tear at 20 weeks and was told my baby wouldn’t survive.
      I was determined to keep him and was put on strict bed rest.I managed to re-build my fluid only to start leaking again at 30 weeks.
      At this point I was admitted to hospital for a month to be monitored.The dr wanted a minimum of 34 weeks.I made it to 36 weeks and then there was infection and my boy was delivered by c-section.
      He is now a healthy 9 year old and thriving.
      I am hoping my story gives someone hope and strength as I know how anxious the days can be

    • By Midwife @Tommys on 8 Oct 2018 - 16:45

      Thank you Charl,
      This is a truly inspiring message. Thank you for taking the time to post and we wish your and your 9 year old son all the best for the future. Take care.

    • By Alizeh Korimbux (not verified) on 26 Oct 2018 - 15:35

      Hi everyone, my water broke when I was 20 weeks pregnant. I was at home, I felt a gush and when I went I went to the bathroom there was some clear liquid on my sanitary pad. I just thought it was just a discharge and decided to just rest. During the night I felt the gush again while lying down. I woke up in a panic and googled it. I read that it was normal so I didn't worry. I only started to worry when it happened again in the morning. I went to the hospital to have it checked out and they confirmed that my water was broken. The doctor advised me to have a termination. I was devastated. I didn't want to to terminate my pregnancy. They kept me in for a coupe of days to monitor baby and me. I went home after 2 days and had complete bed rest and had to go to the hospital twice a week to check for infection. From 20weeks to 30 weeks I leaked on and off. I would leak mostly at night. I would be worried everyday. I prayed a lot while I was in bed. And God has answered my prayer. I little boy was born at 30weeks and 3 days by an emergency c section. He was very poorly when he was born but he was doing well with all the treatment he was getting. He is now big 10 months old baba with a very good health. So don't lose hope whoever is going through the same situation. Keep praying and everything will be fine. Sorry if I've bored you all with my long story but I thought my story will give hopes to a lot of mums out there. Good luck!

    • By Midwife @Tommys on 29 Oct 2018 - 12:02

      Hi Alizeh
      Thank you for sharing your story with everyone :)
      Tommy's Midwife

    • By Adriennne (not verified) on 16 Nov 2018 - 21:52

      Alizeh, your story gives me hope for my daughter. Her water broke at 20 weeks 4 days. Three doctors advised that she terminate the pregnancy. My daughter opted to wait it out. It happened this past Tuesday. We've past the 72 hour point of triggered labor, although she did have some mild cramping last night. No cramping today and the baby was moving around a bit. Some water came out last night and this morning. Not much though. I told my daughter to continue drinking plenty of fluids which will help the baby produce amniotic fluid. I told her to talk to her baby and express love so that the baby fights to stay alive. We pray every day asking God for mercy, grace, no infection, and good health for mother and baby. I know I am supposed to trust God, and I do! But, as a mother I am on pins and needles watching my daughter cling on to the little life inside her, as this is her first child. I am very optimistic and hopeful. Today, my daughter is 21 weeks. I feel like my grand baby is going to make it.

      Thanks for posting your story. It is really encouraging to read that someone else was in the same situation and made it! Best of blessing to you and your baby.

    • By Sivania (not verified) on 17 Aug 2018 - 00:37

      My water Broke Tuesday I am 28 weeks pregnant there giving me antibiotics n steroids shots for baby lungs anyone been thru this?

    • By Midwife @Tommys on 17 Aug 2018 - 10:31

      Dear Sivania
      I am so sorry to hear about your waters breaking early - I hope you are getting lots of care and support.

    • By Steph (not verified) on 18 Aug 2018 - 11:48

      Hi Sivania,
      Sorry to hear about your waters breaking early. The exact same thing has happened to me. My waters broke about 5pm ok Thurs 16 Aug. I was then 29+5. I was told to come into hospital where they confirmed my waters had broken and ever since I’ve been on drips and had the 2 steroid injections in my leg (drip for babies brain and steroids for babies lungs) I’ve also been taking a course of antibiotics to prevent an infection (still unsure if I have one) I’ve been told that I won’t be leaving hospital until my little girl is born. The midwife told me there’s been quite a few cases of waters breaking early at the minute and they are unsure why. I was also told 28+ there’s a 90% of everything being fine so try not to worry you are in the best hands. They will do everything they can for your baby.

    • By Midwife @Tommys on 20 Aug 2018 - 15:05

      Hi Steph, I hope you have found our website useful. At nearly 30 weeks there is an excellent chance that your baby will do very well. Thank you for supporting the previous comment, it is helpful for pregnant women everywhere to know they are not alone and have reassuring comments.
      Take good care of yourself, Tommy's midwives

    • By Mesha (not verified) on 18 Aug 2018 - 17:09

      Hi , my water broke at 17 weeks. I’m now 30 weeks. They’ve given steroid shots and antibiotics while in the hospital..And everything seems to be okay as of now.Just keep faith ❤️

    • By Midwife @Tommys on 20 Aug 2018 - 15:26

      Hi Mesha, As with the previous comment, thank you for taking the time to support others and we wish you all the best for a healthy happy baby now. Take care x

    • By Sue (not verified) on 29 Aug 2018 - 21:32

      Hi mesha

      Can i please ask how long you had to stay in the hospital after your water broke.

      All the best

    • By Marisa (not verified) on 2 Oct 2018 - 03:06

      I am currently 21wks pregnant my water broke at 19wks I am on bedrest at home until 24wks praying we make it. Can you tell me when they gave you steroids how many weeks you were? They won’t give them to me now .

    • By Maloni (not verified) on 23 Aug 2018 - 12:55

      Yes I am going through this right now at 26 weeks baby is fine so am I they want to keep me Pregnant for 34 weeks ideally but we'll see how everything goes

    • By Midwife @Tommys on 23 Aug 2018 - 16:14

      Hi Maloni, Thank you for your comment. We hope that all is well and if we can offer you any support at this time then please email [email protected] Take Care, Tommy's Midwives x

    • By Ada (not verified) on 18 Sep 2018 - 22:04

      My water broke @ 17 weeks .. just like that , was hospitalized and all the tests carried came out negative from infections..pls what could be the cause?

    • By Midwife @Tommys on 21 Sep 2018 - 10:03

      Sorry Ada, Sometimes it isn't possible to know the cause. If all the tests have been negative, you may never know the reasons. Please keep well and we hope you gain some support from the many comments here. Best wishes

    • By Agi (not verified) on 12 Aug 2018 - 20:35

      Hi, just wanted to share the story of my previous pregnancy. My water broke unexpectedly at week 19. The ultrasound showed almost no water left. We saw our baby girl on the images and she was perfect. She held on for 5 days when finally she was born. Even though I was filled with fear of trauma for the future, I decided to give birth to her instead of her being crushed by vacuum. Our pain was indescribable. We were not prepared for something like this. All we knew is that the first trimester is risky but after that nobody really expects anything to go bad. What felt infuriating and left us entirely helpless is that the doctors couldn’t tell what happened, they basically said “bad luck”. In that state one seeks answers but there were no answers, no consolation. What gave us strength in those weeks and months was that we trusted the Universe to know why this happened and we prayed to our baby girl to send us another soul from the stars. I got pregnant exactly on the first anniversary of losing her and now I have a son named Orion. I was scared through the first phase of the pregnancy and started breathing more freely only around week 26. It is extremely difficult to let go of the fears but I am one of many many women who had perfectly healthy subsequent pregnancies after losses like this. So all you grieving mothers out there, be strong and have faith. You will have your rainbow baby soon!

    • By Alexa (not verified) on 26 Aug 2018 - 23:47

      I was 16wks when my water broke, I was admitted for 2days but my baby gave up after 24hrs and that's how I lost my precious gift from God, it's very painful ,it's exactly one month, I want to try again after 3months, thanks for sharing

    • By Shanel (not verified) on 5 Aug 2018 - 01:31

      My water broke at 23 weeks. I was in the hospital gettung steroids to help develop my little mans lungs faster. I developed an infection at 25 weeks, the Dr advise me that the chances of was baby surving was very low and they needed to do a C-section asap. Unfortunately my little man didnt make it. The pain of lossing him never goes away. I am so scared to try again.

    • By Midwife @Tommys on 6 Aug 2018 - 10:40

      Hi Shanel, We are so sorry to hear this and hope that you gain some support from reading our stories. If you need to talk we are here Monday to Friday 9-5pm on 0800 0147 800. Take good care of yourself. Best wishes Tommy's midwives x

    • By Charlotte (not verified) on 11 Oct 2018 - 12:59

      You will be fine trying again I lost my baby at 42 weeks I had a stillborn .. you should never give up hope I lost her last year the pain will never go away and u will never forget them either I am no 33 weeks pregnant and the pain is with me everyday and the worry but we are strong enough to do it again .. never give up hope i didn't and she will always be with me

    • By Midwife @Tommys on 11 Oct 2018 - 14:25

      Hi Charlotte, Thank you for sharing your story.
      We are so sorry to hear about the loss of your precious baby, you give out such a positive message to other women to not give up hope and that is really important. We hope that everything is going well in your pregnancy and if we can offer you any support then please contact the Tommy's Midwives on [email protected] or call Monday to Friday 9am-5pm 0800 0147 800. Take Care, Tommy's Midwives x

    • By Felly (not verified) on 13 Jul 2018 - 10:06

      I had episodes of bleeding from the start of my pregnancy.. I wore a panty liner/ pad everyday..At 18 weeks I was told I had close to no amniotic fluid. At 20 weeks my amniotic fluid was totally gone and was advised to terminate. I refused and held on to my baby. At 24 weeks I had preterm labour and selfdelivered my baby girl with no complications. Baby Sphe survived 4days in NICU & we lost her. I still live with the pain, proud that I fought for my baby but wonder what really went wrong with this pregnancy.. #BlessAllWomen

    • By Midwife @Tommys on 16 Jul 2018 - 12:42

      Dear Felly,
      So sorry for your loss. I hope that you find some comfort reading our website but understand that you may never know the reasons for the loss of your beautiful baby girl. You may find our campaign #togetherforchange helpful. Best wishes x

    • By Marcia H (not verified) on 20 Jul 2018 - 14:24

      Just wanna share about my pregnancy i'm 5months pregnant i lost few water just came out of no-where. I got to hospital admitted just a day, which after i was discharged and sent home. We do abit scanning to see how the baby is doing and i'm not 100% sure they only mention yep few water left but baby still in good condition. Can this be right or do i need to see another doctor???

    • By Midwife @Tommys on 23 Jul 2018 - 14:33

      Hi Marcia,
      If you would like to call us to discuss this . Our number is 0800 0147 800. I need some more details before I can give any advice. Take care Tommy's midwives x

    • By Sibbyrose smith (not verified) on 5 Jul 2018 - 08:43

      Back last year my waters broke at 24weeks and I was so scared. I was in Bristol South mead hospital for a whole 4 weeks to be monitored on and made sure me in the baby was fine at 28 weeks I got discharged and I went to my local hospital for twice a week until I catch a infection at 33 weeks and 4 days. I had a Cesarean section which went ok and my baby was born at 33 weeks and 5 days then after 24 hours they took me off the antibiotics and I became very ill with severe sepsis and pneumonia I was in Musgrove Park Hospital for three weeks and five days due to the sepsis I had. My baby was fine she was a little fighter. I am now pregnant again at 9 weeks and I'm terrified if my waters are going to break early again or if I'm going to have sepsis again.

    • By Midwife @Tommys on 5 Jul 2018 - 15:25

      Hi Sibbyrose, Thank you for your comment.

      We are so sorry to hear about what you have been through in your last pregnancy, it is understandable that you are worried in a future pregnancy.
      As your waters had broken for such a long time this may have been the source of the infection but you also had a caesarean section and ths comes with its infection risks as well. What the Drs and Midwives do know this time is your past experience and they can be prepared for any eventuality.
      When you book with the midwife, tell her exactly what happened and she may refer you to the hospital for consultant led care, you may be seen in a specialist premature clinic as well. You should expect closer monitoring in this pregnancy as the Consultant will want to keep the risk of sepsis to the lowest it can be. If you are worried about your plan of care or what to expect then speak to your GP or midwife and they should be able to refer you up to the hospital to see a consultant so that you can get further reassurance and an idea of what care you will expect going forward. Please feel reassured that what you are feeling is very normal under the circumstances of what you have experienced but asking for support and advice throughout will give you the reassurance that you need, so please don't be afraid to ask. Hope this helps, Take Care, Tommy's Midwives x

    • By Kaye (not verified) on 1 Jul 2018 - 18:58

      My waters broke at 18 weeks I went to hospital they assured me they hadn’t broken and that it was just pregnancy discharge. About 10 days later I was on the toilet pushing to wee and I felt something coming out.. I looked down below and it was a foot. I was rushed to hospital where I gave birth to my baby girl but she didn’t survive. I’ve had no answers as to why this happened but I will be trying again very soon just very scared this could happen again? How could this he prevented and has anyone had PROM and given birth to a healthy baby afterwards?

    • By Midwife @Tommys on 2 Jul 2018 - 15:22

      Hi Kaye, This can be very traumatic and we can understand your anxiety particularly relating to another pregnancy. There are many different reasons for PPROM but, yes sometimes the baby does survive and do very well. It is important that when you become pregnant you go to see a consultant obstetrician who will make a plan to reduce the risks of this happening again. If you need extra support we are here on 0800 0147 800.
      Take care

    • By Andi (not verified) on 30 Jun 2018 - 13:41

      I lost my first baby boy at 22 weeks when my water broke unexpectedly with no signs. I am now 20 weeks pregnant with a girl and scared. My loss was possibly due to an infection but we cannot he sure. I have been encouraged to take progesterone injections at this point but the data seems varied from weeks 20-25, with positive results only after 25 weeks. Anyone else been in this situation? I feel scared to take it or not take it.

    • By Midwife @Tommys on 2 Jul 2018 - 10:28

      With so much on-going research it can be very difficult to know what treatment is best for you. You can only really take advice from those that understand your personal situation and your history. Tommy's have been involved in trials looking at the role of progesterone in reducing the risk of pre-term labour (https://www.tommys.org/our-organisation/our-research/research-cause/premature-birth-research/support-finding-best-way-prevent-preterm-birth-women-short-cervixes https://www.tommys.org/our-organisation/research-by-cause/premature-birth/progesterone) but these trials may not be relevant to your personal situation. Try to arrange to discuss with your obstetrician again if you are wary of taking the medication. Best wishes, Tommy's midwives

    • By Jenny (not verified) on 29 Jun 2018 - 01:30

      I recently miscarried my 20 week old baby boy due to early rapture of my water bag. It was heartbreaking. I was due for my monthly check up in a week and I didn't know that I had an infection which caused me to have very high WBC (16,000) compared to normal of 4,500-10,000 WBC. I was in labor for 56 hours, only to give birth to my dead baby. I pray to God that no mother should experience what I've been thru.

    • By Midwife @Tommys on 29 Jun 2018 - 11:54

      Hi Jenny,
      I am so very sorry to hear about the loss of your little boy and what you have been through.
      If we can support you then please do be in touch via email on [email protected] or call 0800 0147 800, we are here Monday to Friday 9-5pm.
      Take care,
      Tommy's midwife

    • By V (not verified) on 28 Jun 2018 - 02:48

      I have a question in regards to PROMM. Water ruptured and lost part of the plug on Monday at 3 am. Dr. says it can take from 1 to 7 days to go into labor. What are the chances the pregnancy can go into 24 weeks since bedrest at hospital was mandatory. However, no antibiotics have been given. Baby still has fluid and regural heartbeat. Thanks.

    • By Midwife @Tommys on 29 Jun 2018 - 10:08

      Hi,
      I am so sorry to hear that you are experiencing such a difficult time in this pregnancy. I am afraid it is not possible to able to know what is going to happen, there is a chance that the pregnancy will continue beyond 24 weeks however this is uncertain and it is important to try the take the next few weeks each day as it comes. It is great that there is still some fluid around the baby and your a being monitored closely.
      It would be routine to have a course of antibiotics if your waters break early and they should be taking bloods from you to check for markers of infection. Do have a talk with your doctor about this.
      If we can support you further then please do email us [email protected]
      Best wishes
      Tommy's midwife

    • By Anonymous (not verified) on 19 Jun 2018 - 17:03

      I had an amniocentesis at 15wks 2days, 5 hours later most of the fluid leaked. The hospital staff have been largely pessimistic and have spoken to us about termination on more than one occasion. The amniocentesis was clear and all scans have shown a healthy, active baby; however, I am still leaking fluid and will be seen again on Friday when I will be 19wks 6days. If the fluid is still low I know they will once again speak about termination. We have decided that if the baby's lungs can't mature and that he or she will be very poorly we will terminate. I am petrified and wonder what you think our chances are of the baby being ok and whether I can continue to leak but still have enough fluid around baby?

    • By Midwife @Tommys on 22 Jun 2018 - 13:12

      Hi,
      I believe you have been in contact via email since posting this but if we can support you then please do be in touch.
      Best wishes
      Tommy's midwife

    • By Elise (not verified) on 17 Jun 2018 - 22:55

      Hi. I am currently 30 weeks pregnant and for the past couple of months ive been experiencing what i thought was leaking urine. But it happens atleast 3 or more times a day. Even when i dont need to go to the toilet. Sometimes i feel it as soon as i stand up or cough too hard. There is no urination sensation. If it is urine should it feel like im actually weeing? Because this just feels like ive got my period. There is no controling it, it just happens. I just urinated about an hour or more ago and about 10-20 minutes after i laid back down in bed i felt a tiny gush like feeling and i checked to see if my underwear were wet and they were. The fuild is clear and does not smell like urine. It is a small amount and it doesnt seem to be continuously flowing but this is happening everyday atleast 3 or more times a day. Is that considered continuous?. There is no blood or pink tinge. My baby is still moving and im not in pain but for the past week ive been getting period like cramping every now and then. Please help

    • By Midwife @Tommys on 18 Jun 2018 - 14:28

      Hi Elise,
      I think it may be sensible to ask your midwife to examine you or go to the day assessment unit at your hospital. I can't rule out ruptured membranes but it is quite normal for there to be increased vaginal discharge in pregnancy and this is usually clear or milky fluid with similar symptoms to yourself. I would also suggest that you commence pelvic floor exercises as many women have a bit of leakage from their bladder due to hormones weakening the pelvic floor muscles. We have advice about this here: https://www.tommys.org/pregnancy-information/im-pregnant/exercise-pregnancy/pelvic-floor-exercises
      I hope this helps. Take care

    • By Pam Smith (not verified) on 15 Jun 2018 - 00:58

      Hi my name is Pam 3 days ago my water broke and i went to the hospital. They talked to me about all the risks of staying pregnant but i couldn't give up. My baby has a strong heart beat and moves all the time. They kept me at the hospital and sent me home with oral antibiotocs. I pray to God that i don't go into labor and my baby makes it. Any advice you can give me will help. I am scared but hopeful everything with be okay.

    • By Midwife @Tommys on 18 Jun 2018 - 14:19

      Hi Pam, Sorry to hear about this. I am sure you are very worried. I certainly know that babies can survive this if you don't go into labour. I am sure that you have been advised to take your temperature regularly. This helps you to know if you are developing an infection. Other symptoms may be an unusual or 'smelly' vaginal discharge. You will continue to leak fluid as the baby's kidneys will continue to function to produce the amniotic fluid, therefore you'll need to wear a pad continuously. Other than this please take good care of yourself and avoid sexual intercourse. We wish you well. Please don't hesitate to contact us if you feel you need to. Best wishes

    • By Cassie (not verified) on 28 Jul 2018 - 12:15

      Any updates on you or your baby? I’m currently in the same situation.

    • By Kathleen (not verified) on 13 Jun 2018 - 13:24

      Hi im 18 weeks pregnant I have 4 kids first one early at 35 weeks waters broke at 34 weeks and 2 full term then I had twins at 29 weeks but I’m really scared in case my waters has broken 4 days ago I was cleaning the kitchen then started to feel very wet were my legs wAs wet to so I went to the bathroom to see and all I could see was like watery discharge but then I started to get really bad lower cramping like Pressure pains lower sound and the same is happening to me to day don’t no wt to do help pls xx

    • By Midwife @Tommys on 13 Jun 2018 - 14:33

      Hi Kathleen, you really need to go to the hospital urgently today if you think that your waters have broken so that they can confirm if this is the case. Please take yourself in NOW with your pregnancy notes. You will need to be seen on the labour ward triage by a midwife and obstetric doctor.
      All the best
      Sophie Tommy's Midwife

    • By Laura (not verified) on 10 Jun 2018 - 05:17

      I am in hospital as my waters on my lower twin broke yesterday at 34 weeks 3 days. What are my chances of keeping my babies in there for a few days so we hit 35 weeks? I have no other signs of labour and have been given my first steroid injection and antibiotics. My last scan was 21st May and both babies weighted 4 lbs then - a few weeks on, are they likely to be ok weights now?

    • By Midwife @Tommys on 11 Jun 2018 - 15:06

      Hi Laura, In the UK, most babies born at this stage will do very well. The average gestation for twins is 35 weeks. You will have another dose of the steroid injection after 24 hours and there is no reason not to be optimistic. If you are in hospital now, have a chat to your midwife about your concerns and don't be afraid to ask as many questions as you need. We wish you all the best. Take care Tommy's midwives x

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