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 Erin (not verified) on 2 Jun 2018 - 16:19

      Hi, I ruptured at 16 weeks, got the antibiotics and admitted at 23. Currently hospital bedrest at 28 weeks. I have had unmeasurable pockets of fluid and leak continuously. What are my chances of having a survivor?

    • By Midwife @Tommys on 4 Jun 2018 - 15:16

      Hi Erin, You have been through such a lot in this pregnancy. At 28 weeks your chances are now good. I am sure you are being well looked after and bed rest seems very sensible. Hang in there, the further you get the better it is for the baby. Take good care of yourself.

    • By Sara (not verified) on 27 May 2018 - 19:42

      After a week of increased discharge and abdominal cramps/contraction, i contacted my OB. I also had very light spotting, few drops of blood and very tiny clots the night before. My ob did a speculum exam and quick US and reassured me that everything looked good, baby is fine. That same night, my water ruptured after i was woken up from sleep with a sharp lower mid abdominal pain. I miscarried the next day and had D&C. They ruled out chromosomal issues with the baby, incompetent cervix, UTI, bacterial vaginosis or any infection, no abnormalities noted on the placenta pathology other than the acute chorioamnionitis. I don't have any medical issue or known risk factors, so i really don't know what caused my amniotic sac to become so weak.
      I am terrified of the possibility of this happening again. I want to know if i need a consultation with a MFM specialist before I get pregnant again or once am pregnant. Is there any additional tests, vitamins you recommend.
      Is the progesterone shot indicated for cases of unexplained PPROM in second trimester?
      thank you.

    • By Midwife @Tommys on 29 May 2018 - 14:49

      Hi Sara
      It would be best for you to make a follow up appointment with your OBGYN to discuss the above questions there, as they will have full access to your medical and obstetric history. In the U.K, we recommend women are seen by their obstetric doctors after a late pregnancy loss to go through their personal risk factors and make a plan of care for how best to safeguard a future pregnancy - this should be transferable over to you in the U.S in principle. I really do hope that you get a happy ending soon. In the meantime, please take good care of yourself!
      All the best
      Sophie,Tommy's Midwife

    • By maggie (not verified) on 23 May 2018 - 20:01

      I was pregnant with twin boys and my waters broke I went in to Labour at 26 weeks nothing was stopping my boys from coming.they weighed 1 pound 8. Each and with alot of ups and downs and 12 weeks in nicu they are now happy little boys.the nurse's and doctors that work in nicu don't get enough credit they do an amazing job.

    • By Midwife @Tommys on 24 May 2018 - 16:07

      Hi Maggie,

      That must have been a very scary and difficult time for you. So glad to hear that your boys are doing well, what little fighters! Lovely to hear that you and the boys got such good care in hospital.

    • By Hayley (not verified) on 30 Apr 2018 - 07:55

      Hi, I’m really concerned and wondered if there is any connection with what’s happening now and my last pregnancy when I had pprom? I’m 34 My story... 2008 1st pregnancy - miscarriage at 6/7 weeks no d and c needed. 2009 2nd pregnancy- full term healthy child delivery Caesarian section due to being breech. 2011 3rd pregnancy full term healthy child vbac, hemoraged but did not need transfusion. 2016 4th pregnancy pprom at 28 weeks ( no reason no infections ) I managed to hold on till 33 weeks on bed rest and delivered (thank god) 4.9 lb healthy baby. 2018 January, 5/6weeks miscarriage no reason . And just suffered another miscarriage after seeing heartbeat on Thursday but was having spotting and no heartbeat in scan on Saturday. Sorry for the long message but me and my husband are so scared of trying again, are there any connections between previous pprom after normal pregnancies and then having 2 miscarriage after.

    • By Midwife @Tommys on 1 May 2018 - 14:02

      Dear Hayley,
      I am so very sorry to hear about your miscarriage this weekend and the miscarriage in January.
      There isn't any link between PPROM and miscarriage in the first trimester that I am aware of but understandably it leaves you and your husband terrified about trying again. If you'd like to talk this through please email [email protected] or call weekdays 9-5 pm to speak to a midwife on 0800 0147 800.
      Thinking of you and your family at this sad time
      Anna-Tommy's Midwife

    • By Mercy (not verified) on 22 Apr 2018 - 17:24

      My water break at 24 weeks...pls can anything happened to baby?

    • By Midwife @Tommys on 23 Apr 2018 - 15:35

      Hi Mercy, We hope you have found this page helpful and that you have been able to talk to your doctors. It is difficult to give any certainties about your baby but hope that you are being well cared for. Best wishes Tommy's midwives

    • By Kim (not verified) on 11 Mar 2018 - 21:33

      I had a perfect pregnancy up to 24 weeks, no sickness, a little tiredness but put it down to working hard in my job and growing a baby. I was eating healthy, exercise, taking vitamins, and plenty of rest.
      At 24 weeks I started having severe pains and shakes. I thought were growth spurts or movements. No matter which way I lay or sat I was in pain. I decided to go GP in the morning. I was told i possibly was coming down with flu and baby was moving around. I had a scan which detected high amniotic fluid but baby had a healthy heartbeat and was ok. I was sent home for bed rest. Within 5 hours the pains became severe and breathing was intense and after urinating a little brown as i wiped. I called a neighbour because I lived alone. They rushed me into the car within 5 minutes my waters broke. The baby had pushed himself out, the pain had completely gone. We arrived at the hospital the medical staff were concentrating on me and left the baby unattended. He still had a heartbeat but for sure he was struggling to breathe. After a while moved him and gave him oxygen and told me he was in an incubator.
      I was waiting to be transferred to another hospital with better neonatal facilities to be told my baby had died.
      I'm angry that the GP didn't detect there was a problem in the morning and sent me home with panado for pain. Also that when we arrived at the hospital they left the baby unaided for so long.
      My baby is now buried.This all happened abroad and I keep thinking my baby might have survived if I was in the UK with family.

      This was nearly 2 weeks ago. Im flying home to grieve with my family this week. It has been a nightmare experience i keep thinking i will wake up and he will still be growing inside me.
      What is wrong with me? Why did the baby decide to come early?
      Should I be worried about my health? Since then I've been having headaches, dizziness, some pain urinating,occasional diarroeia. Loss of appetite. Do i need to get examined when i arrive in UK?

    • By Midwife @Tommys on 12 Mar 2018 - 14:39

      Dear Kim,
      I am so so sorry about what you have been through. I do hope that you are being well supported by your family and friends and that you will take time to grieve and think about your baby son before you consider going back to work.
      It would be a good idea to see a GP when you get home (Are you living abroad?) to check your blood pressure and possibly to take some blood tests but these symptoms are unsurprising and may go gradually as you recover. We don't always know why a baby is born so early, but if you do go on to have another pregnancy your obstetrician will discuss the options available to reduce your risk. This link discusses the options. https://www.tommys.org/pregnancy-complications/prem-birth/treatment/cervical-incompetence
      You would be welcome to call us if you want to chat. We are here Monday to Friday 9-5pm to listen to your concerns and offer support. Take care of yourself, Best wishes, Tommy's midwives.

    • By Tracie (not verified) on 4 Mar 2018 - 10:14

      My waters broke at 24 weeks. I’m now 27+4 I’ve had steroids an sulphate magnesium. I got to feral medicine every two days for temp an growth checks. Baby’s now 21b today I’ve woke with a water infection burns when I pee. No change in colour of fluid loss no infection no temp can feel baby move just a wager jnfection whatbshiukd I do?

    • By Midwife @Tommys on 5 Mar 2018 - 13:47

      Hi Tracie,
      I am sorry to hear that you are having such a difficult pregnancy at the moment. It is great to hear that you are being monitoring so closely. If you feel that you may have a urine infection then it is important that you see someone to be reviewed and have treatment if necessary. I would advise for you to call your GP or maternity unit to have your urine tested and a care plan in place for you. Best wishes, Tommy's midwives.

    • By Kim (not verified) on 28 Feb 2018 - 01:59

      I am 16 weeks and 6 days and was wondering how can you tell the difference between broken waters and an increase in discharge? I went to the doctor today because I was feeling an increase in “discharge” and I tested positive for a bacterial infection. I’m worried though that my water already broke.
      Also, if it hasn’t, what are the odds that it will becaus of the bacterial infection?

    • By Midwife @Tommys on 28 Feb 2018 - 11:24

      Hi Kim
      The best thing for you to do is go to your triage/day assessment unit in the hospital for an obstetric review asap. Some hospitals will perform a speculum examination and take a swab, others may have access to an expensive test that confirms if waters have broken or not by taking a sample from the vagina with a special test strip/paper and processing it in the machine to detect the presence of amniotic fluid or not. This is not available at every hospital though.
      You can also be treated for your infection if you need antibiotics are have not yet been given any. Please get yourself seen today!
      All the best!
      Sophie,Tommy's Midwife

    • By monique (not verified) on 27 Feb 2018 - 08:50

      Hi,
      Currently on bed rest after cerclage placed at 22 wks after thankfully finding out I had bulging membranes. Sadly only lasted 2 weeks before water broke . Went thru steroids/antibiotics . My uterus is quiet at All checkups but I'm so worried after my fluid being checked has been decreasing from 7.6 to 5.5 and currently at 3.2 at 26 weeks, though his heart rate is strong and i feel him move.I'm terrified now how will this effect baby's development? and how long can baby stay inside without developmental issues

      Lost

    • By Midwife @Tommys on 28 Feb 2018 - 10:27

      Hi Monique
      I am so sorry to hear that you have been having such a difficult time. You say you are on bed rest, i presume in the hospital?
      The best people to ask these questions to, is the midwife and obstetric consultant doctor caring for you as they have full information regarding your personal medical and obstetric history. Each and every case similar to yours, is so based on an individual basis. There are no "one size fits all" outcome in this. So please do ask these questions to your own medical team for the full, medical pictures and possible predictions for you and your little one.
      I really do wish you all the best and please do feel free to call or email us again if we can be of further support to you at this difficult time. Sending my thoughts and love
      Sophie,Tommy's Midwife

    • By Vikki (not verified) on 22 Feb 2018 - 16:45

      Hi i suffered a pprom at 16+3 weeks and gave birth to my little boy at 31+3 weeks, luckyly he survived but he is unfortunately disabled from this. I have been told that the reason for my pprom could have been due to dehydration. Is it possible that dehydration can cause pprom?

    • By Midwife @Tommys on 23 Feb 2018 - 11:38

      Hi Vikki,
      I am so sorry to hear that you have been through such a difficult time with the pregnancy with your son. Dehydration in itself is not a known cause of pprom, it maybe worth going back to the person that suggested this to see if they can explain this further to you and the reasoning behind their suggestion? Tommy's midwives x

    • By Intizam (not verified) on 25 Jul 2018 - 07:30

      Hi, I am from Germany and my water broke also at 16 weeks... I would like to know what kind of disables your son has.

    • By Janelle (not verified) on 20 Feb 2018 - 21:44

      About 4years ago had a raptured membrane now im pregnant again scared of what might happen again could someone give me some advice

    • By Midwife @Tommys on 21 Feb 2018 - 10:48

      Hi Janelle
      Your midwife and Doctor should both be regularly seeing you in this pregnancy after your experience in your last pregnancy. Both to keep a close eye on you and for support. I expect that you would also have a couple more scans to monitor your cervix as well as fetal growth. It might be good for you to talk it through in more detail on the phone as i can then have more of an understanding about your history and current condition, so please feel free to call us on 0800 0147800.
      Look forward to hearing from you
      Sophie,Tommy's Midwife

    • By Mellisa (not verified) on 3 Feb 2018 - 05:01

      Hi

      My water broke one night at 17.5 weeks and managed to stay pregnant for 22.5 weeks before we delivered and loss our beautiful girl. I was given no reason for my rupture but know that an infection was present in the end. I read about BV being one of the biggest culprit and I’ve been looking over my records and found out that I was never checked for this. Could this have been my problem? I also had a cervical length of 2.9cm is this normal and was I suppose to be in bed rest with that measurement?

    • By Midwife @Tommys on 5 Feb 2018 - 15:03

      So sorry to hear about the loss of your beautiful daughter. I understand your desire to find answers and I sympathise. Sometimes we never find those answers and it can be very hard. Infection is one of the most common reasons for rupture of membranes. It is not easy to spot the early signs of infection as often there are no symptoms but I assume that you were given antibiotics when you went to hospital at 17 weeks.
      Cervical length of 2.9cm is below average but not so short as to require bed rest. You should discuss with your consultant the advantages and disadvantages of a cervical stitch in your next pregnancy. I can't advise that this treatment would be appropriate as I haven't read your notes but your doctors are there for your support. If you would like to talk you are welcome to call us on 0800 0147 800. Take care x

    • By Katherine (not verified) on 29 Jan 2018 - 17:46

      Hey everyone. Hope all is well. I'm writing to share my current situation right now. So in 2015 April to be exact I lose my first child at 20 weeks. My water broke during sex (tmi) and I didn't know it was my water. Two days later I was rushed to the er and was told I had to deliver and she was not going to make it. We held her until she passed. Which was about 5 hours. This experience shook me to the core and although we tried again (for about a yr) I didn't get pregnant again. Well it's now 1/29/18 and I'm 16 weeks and 3 days. Even though I've known since i was 6 weeks I've had massive blood clot passings, extreme sickness, I just had the cervical cerclage placed in last week and I went though complications due to my cervix being already open AGAIN...I had a spinal fluid leak causing a spinal headache (No one told me could happen) and I'm stressed out bc I couldn't work and we all know without work there is no money. The point of me spilling almost everything that has happen in the last 4 months is bc with all this going on. I'm still extremely timid about starting a registry or buying things for my nugget bc im still scared that something will happen and i wont have this child. I dont feel any connection with this one....at all bc all of this...im scared that I will never feel close to this little blessing. I don't know what to do...has anyone out there experienced something like this??

    • By Midwife @Tommys on 31 Jan 2018 - 09:33

      Hi Katherine.
      Thank you for sharing your story with us. I am ever so sorry to hear about all that you have gone through over the course of the last few years! That must have been very difficult for you and your partner. I do hope that you are well supported in this by your partner, Dr and Midwife over there in the U.S. We are a U.K based charity here at Tommy's, but please do feel free to call us on 0800 0147800 if you feel that a friendly chat would be useful to you. Wishing you all the best at this time.
      Sophie,Tommy's Midwife

    • By Sarah (not verified) on 2 Jun 2018 - 06:59

      Hello Katherine,
      Thank you for sharing your life with us. Any updates? Praying for you.

    • By Anonymous (not verified) on 21 Dec 2017 - 04:51

      My water broke last Thursday and I went to labor and delivery once I started having contractions. I was given something to stop contractions and put on antibiotics. I had not dilated any but all fluid was gone. Stayed in hospital for 48 hours. Released on two oral antibiotics. Told to monitor temperature. Still leaking, but not discolored or foul smelling. It has now been a week since water breaking, can still feel baby moving. I return to doctor in a week and will be 22 weeks. What is the chance of survival? I really don't want steroids.

    • By Midwife @Tommys on 2 Jan 2018 - 14:04

      Hi, thanks for posting. We have been closed over Christmas so it has been 12 days since your water broke. How are you now? It is really difficult to answer your question as situations change. If the baby has some fluid around him/her, your cervix remains closed and the antibiotics prevent infection it gives the baby time to grow. I know you do not want steroids but if your baby is born prematurely they will help to accelerate lung development to give your baby a much better chance of survival.
      Thinking of you
      Tommy's Midwives

    • By Ntsiki (not verified) on 29 Jan 2018 - 05:32

      I was pregnant, 25-26 weeks I had premature labor. My baby died 2 hours later.

    • By Midwife @Tommys on 31 Jan 2018 - 09:38

      Hi there Ntsiki
      I am ever so sorry to hear that you lost your little one. Please do feel free to call us on 0800 0147800 if you wish to talk anything through.
      Thinking of you at this difficult time
      Sophie,Tommy's Midwife

    • By Anonymous (not verified) on 4 Dec 2017 - 04:34

      Yesterday as I was busy with my house chores I felt something hot coming outa my vagina,I ran to the shower to check and I saw a thick yellowish mucus kindalike and after I wiped it the water started gushing out,it became more and more,I went straight to the hospital and was given stetoids and antibiotics.So My Question is....."what are the chances of my baby's survival and how possible would it be for him to be healthy,What are the overall complications due to this?Please help I'm so worried.

    • By Midwife @Tommys on 4 Dec 2017 - 15:00

      Hello. You have done exactly the right thing in going straight to the hospital. Without all the information I can't give you a true prognosis but I can tell you that many babies born this early have a good chance of survival. Next time you go to hospital I would suggest that you take a friend with you to help you with all your questions and to discuss it with you afterwards. Many people forget to ask key questions when they are in your position. The doctors and midwives will be happy to answer you and even to take you to see the Neonatal unit if you would like to. Best wishes and please feel that you can contact us if you need to.

    • By Anonymous (not verified) on 17 Dec 2017 - 07:24

      I had the same thing happened to me, i was 26 weeks when my waters broke, & they kept me in hospital on bed rest, i didnt walk around much at all, was pushed in a wheelchair if i had to go somewhere, anyway i ended up giving birth at 32 weeks 3 days, he was tiny, 1.9kg but big for his age, he stayed in NICU and special care for 4 weeks, & he is now a happy and healthy 10kg 8 month old :)

    • By Midwife @Tommys on 18 Dec 2017 - 12:09

      Thank you so much for your comment. It will bring hope to others to hear your very positive story. Very happy that your baby is doing so well. Tommy's midwives x

    • By Maureen (not verified) on 30 Jan 2018 - 07:30

      wow! congratulations. I felt encouraged so much!

    • By Lupita lopez (not verified) on 27 Feb 2018 - 21:49

      Hi. Thank you for sharing. I’m currently on bed rest in the hospital. Waters broke at 27 weeks. I’m now 31 weeks. Your story gave me hope for a happy ending. I’m struggling to be calm. I’ve got one more month to go. I’ve got a 6,4,&2 year old at home. Hardly any help. My hubby is tired and sometimes anxious. Now they’ve got the flu. I’m discouraged. But I’m happy to hear your story. Congratulations on your long coats.

    • By Midwife @Tommys on 28 Feb 2018 - 12:24

      Good luck with everything Lupita! It will all seem worth it soon enough. You know we are if you need us!
      Please take care
      Sophie, Tommy's Midwife

    • By Anonymous (not verified) on 3 Dec 2017 - 08:15

      Hi Dr, my names are AJ.. I had my water break at exactly 27 weeks and am now having greenish discharch..now my worry is that for how long can a baby stay in this state. Am on antibiotics to prevent infections and taking a lot of fluids

    • By Midwife @Tommys on 4 Dec 2017 - 15:06

      It is important that you go back to the hospital for a check today. Any green discharge must be reviewed as soon as possible. With best wishes from the midwives.

    • By Tanisha Cooper (not verified) on 30 Nov 2017 - 17:11

      Hi, my waters broke at 25 weeks and 3 days, I have just been released from hospital today. I had my steroid injections, antibiotics and regular checks on the wee one. Now, that I am released I have to attend my hospital twice a week for up checks. I was told I am at very high risk of infection and I have too very cautious. However, when they discharged me today, I was not giving any antibiotics. I have a few questions about the entire experience.

      Is it normal to be sent home with no antibiotics?
      How long do I have left with her still inside me?
      What will her health be like once she is out?
      What could cause me to go into labour?
      Will I have to be a dilated as most women to deliver?
      Will my labour be more painful or faster?
      Could my signs of labour be different?
      What’s chance of my baby surviving?
      How will I know if she is healthy when am not in the hospital?

      Sorry for all the questions,
      Thank you,
      Tanisha

    • By Midwife @Tommys on 1 Dec 2017 - 11:22

      Hi Tanisha,
      I am so sorry to hear that you are experiencing such a difficult and worrying time in your pregnancy at the moment. Your post contains a lot of questions which is completely understandable, however it is a lot to talk through. If you wouldn't mind, could you copy and paste your message and put in an email to us and we can provide you with a more substantial answer. Our email address is [email protected], we look forward to hearing from you.

    • By Kay (not verified) on 17 Nov 2017 - 11:59

      Hello , I was pregnant with twins , lost the first baby at 8 weeks and at 12 weeks exactly I pprom and lost the second baby. The second baby was diagnosed with Kleinfelters syndrome among other chromosome issues. I have been to 3 Drs the first one said that it was due to the chromosome issues of the baby the second one said due to it being a multiple pregnancy and the third one said maybe bacterial infection. At the time of the incident a blood analysis was done to confirm that my white cell count was normal and therefore no infection.... would a bacterial vaginal infection show up on a blood analysis? could it happen again? in your experience what do u think the reason behind it is ?

    • By Midwife @Tommys on 20 Nov 2017 - 09:12

      Hi Kay
      I am so sorry to hear about what you have been going through, that sounds like a really tough experience.
      It is really very difficult to say- not being able to access your full medical history, as your doctors have been able to, i do not want to give you inaccurate information based on you as an individual. Your doctors are all best placed to answer these questions for you based on both your medical and obstetric history together, as well as your blood work and swabs etc.
      No two pregnancies are ever the same. As are each and every developing fetus. So it is possible for this to happen again, but it may also never re-occur.
      It might be easier for you to call and have a chat with us on the pregnancyline (08000147800) so that we can explore our ideas together! Please take good care of yourself!

    • By Anonymous (not verified) on 25 Nov 2017 - 06:23

      Sorry about your loss. I was about peeing 1pm on yesterday Thanksgiving day when I felt a gush of water all over the floor. Immediately after wiping I saw blood and rushed to the emergency. They did ultrasound, said baby’s heartbeat was fine but there’s no amniotic fluid and sent me home. Went to 2 different health care centers but they were all closed for the holiday. Took a couple of vitamin c and kept drinking water and peeing. Was able to sleep for a couple of hours only to wake at 2am to painful contractions. I prayed, oh I prayed, by 4am, took off to another emergency and they did another ultrasound only for me to be told my baby is gone and I should have come earlier, they wondered why the other emergency center sent me home. I’m 20 weeks today Black Friday. Had to deliver naturally with epidural and some anesthetic as the contractions were horrible. Honestly I couldn’t look at my baby (Saint) but told the nurse to keep her picture in my bag. I’m here wondering tonight on Black Friday how and why all this could happen to me this thanksgiving period. #verysad

    • By Midwife @Tommys on 27 Nov 2017 - 09:54

      Thank you for sharing your story. I am sure this is very raw for you and we send our condolences to you and your family at this very sad time. I am glad that you have found our site and hope that you get some comfort from sharing your experience. Tommy's continue to fund research into miscarriage and stillbirth in the hope that one day we will find some answers to help other women in your position. Best wishes from Tommy's midwives x

    • By Anonymous (not verified) on 4 Dec 2017 - 10:43

      I also gave birth on Black Friday . Water broker at 21 weeks. I lost all fluid . Spent 48 hours in the hospitals then sent home on bed rest for 72 hours. I started retaining fluid so things looked good, but on Black Friday I went into labor . My baby , Roman , only lived for 2 hours . I was 22wks and3 days. Now all I have is a picture holding him as a memory . Seems like it was all a dream. It’s very painful . I’m always wondering why? What could I have done different ? You’re not alone .

    • By Athulya (not verified) on 2 Nov 2017 - 22:26

      Mam,iam 31+5 days pregnant,but according to scan it’s 29+only.this time I came for scanning then the doctor informed me that ur AFI become 6.4 from 11(that’s is done previously).but I have no leaking also.doctor admitted me in hospital and given 2 doses of betamethasone.mam can u explain to me what was the cause of this decreased AFI ,( from 11 to 6.4)explain what was the cause and what I will do for managing this problem.and I need any bed rest???

    • By Midwife @Tommys on 3 Nov 2017 - 16:48

      Hi,
      Sorry to hear that you are experiencing such an anxious time in your pregnancy. I am afraid it is difficult to be able to know exactly why the AFI has dropped so quickly, especially if you are not leaking any fluid. However you have been admitted to hospital and being monitored closely, they will make sure that you and your baby are well. If there is any sign of infection or concerns about the baby's health and development then they will need to deliver the baby early. If there has been a sudden drop in your baby's growth then again it maybe safer to deliver your baby sooner rather than later however it is important to weigh up everything that is happening and decided what is safest for you both. You should be involved in decision making process and fully understanding what is happening, if not then do ask the midwife or doctor looking after you. If we can support you further then please do email us, [email protected] and we will help as much as we can. Take care

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