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 Midwife @Tommys on 11 Apr 2017 - 13:00

      Hi, I am sorry to hear that you are having a difficult pregnancy and that your waters having broken early. When this happens it is balance of trying to keep the baby inside you for as long as is safe and as long as you are well. It is very difficult to be able to advise you fully as we do not have your full medical and obstetric history and I do not have access to your notes and the baby's heart rate monitoring etc. It is important to ask to speak with the doctor or midwife looking after you to make sure you understand everything and that you have had a chance to speak with the neonatal team also about having a premature baby. You can also ask for a second opinion too. If you would like to speak further please email us [email protected] with more information.

    • By Anonymous (not verified) on 6 Apr 2017 - 09:59

      I lost my first baby due to my waters breaking at 19 weeks. After tests and post mortem there was no known cause and we were given the all clear to try again. We were told it was just bad luck. Unfortunately it recently happened a second time, again at 19 weeks. The doctors say there was no sign of infection or problem with my cervix. I am so confused what caused this.

    • By Midwife @Tommys on 6 Apr 2017 - 13:01

      Hi . So sorry to hear this. If you want to talk you can call us on 0800 0147 800 and a midwife will be able to discuss this with you. We are here Monday to Friday 9-5pm. The most common risk factors for premature rupture of membranes are infection, cervical insufficiency and there is some evidence of a link to smoking more than 10 a day. However in many cases there is never a cause found and we will never know the reasons. Best wishes to you x

    • By Mariam (not verified) on 28 Mar 2017 - 03:48

      My waterr breaks at 18 weeks and i was told to go and re scan and the result was that the baby is still alive but the water is alreadt dryied please what can i do to save my baby life

    • By Midwife @Tommys on 28 Mar 2017 - 12:17

      Hi, I am sorry to hear that you are experiencing a very difficult time in your pregnancy. It is important to take each day as it comes, it is a question of on going monitoring and trying to get as fair along in your pregnancy as possible. All you can do is look after yourself both physically and emotionally. If you start to feel unwell or have any pain then to contact the hospital to be reviewed.

    • By Anonymous (not verified) on 23 Mar 2017 - 08:42

      I lost my baby boy at 18 weeks, 6 days pregnant, just over 5 weeks ago. My pregnancy had been okay up until then, I'd had a little spotting in first trimester, but no bleeding other than that.

      I had terrible morning sickness though, where I used to feel like I was pushing urine out at same time as it was that forceful (I wonder sometimes if this was actually amniotic fluid!). I started bleeding at 17 weeks, 5 days and it stopped after an hour but I went to the hospital. They said my cervix was closed and they did a scan - all fine! Then I had bleeding a few days later. Same thing but with some clots. They did internal scan and everything seemed fine - closed too. They kept me in overnight and the abdominal scan the following morning confirmed very low amniotic fluid. They said there was nothing they could do. So, I went home. By the next week I started bleeding again at the evening, had contractions (I didn't realise this is what was happening) and woke up to find the umbilical cord hanging down outside of me.

      I delivered my boy the next day. I am still devastated. I just wondered, what are the chances of this happening again?? I have no idea why it happened. I did have some yellow discharge for a couple of weeks and was due to go for swabs but lost my boy before these were done. Could this be a reason? I'm lost.

    • By Midwife @Tommys on 23 Mar 2017 - 15:24

      We are so sorry to hear about the loss of your cherished baby boy and can understand your devastation. You must be full of questions and seeking answers to make some sense of it. You are most welcome to call us on 0800 0147 800 for some support or for any questions. Without more information I would not be able to tell you if you would have an increased risk in a future pregnancy as there could be many reasons why this happened. I hope that you will have an appointment with your consultant to discuss it in the next few weeks. Best wishes and please contact us if we can discuss this further with you. x

    • By Natassia (not verified) on 27 Feb 2017 - 03:18

      My waters broke on Sunday morning and I am now experiencing back pain which the midwife has gave tablets for but doesn't seem to be helping with the pain. Slight tightening of the abdomen. Does this mean I am going into labour?

    • By Solimar ginorio (not verified) on 20 Feb 2017 - 18:53

      Im 21 weeks and i went to the emergency room because i had fluid leakage i was told that it was normal i have went to diffrent hospitals and finally was told that my water was broken. Is there some method to help my baby survive i do not want to take the options that my OB doctor has given me.

    • By Midwife @Tommys on 22 Feb 2017 - 11:47

      Dear Solimar,
      Thank you for your post I am so very sorry to hear that your waters have broken at 21 weeks. Has your OB been able to tell you if you currently have an infection?
      At this stage of pregnancy there are several reason why waters break, such as infection (maternal or in the womb) or cervical insufficiency (a weakened cervix that cannot support the growing weight of the pregnancy and starts to open too early).
      Amniotic fluid naturally increases until about 39 weeks of pregnancy, however if your membranes have ruptured it is likely that you will keep losing fluid. Amniotic fluid is initially provided by the mother, in the second half of pregnancy amniotic fluid production is mainly provided by the baby swallowing fluid and passing urine.
      Amniotic fluid is vital to each baby to develop his/her limbs, muscles, lungs and gut. The baby has room to move and grow and the fluid protects the baby’s cord from being compressed. Most women will go into labour on their own within a week of rupturing their membranes.
      We do not have any methods to help babies survive at this early gestation as we do not have medication to increase the fluid volume around your baby. You mention in your post that you do not want to take the options that your OB has given you. Sadly we do not have many options available to us in this situation so your choices are to 'wait and see' (if you are well) or because the prognosis for your baby is tragically very poor some parents choose to start contractions with medication.
      With love at this very difficult time. Please don't hesitate to contact us again: [email protected]
      Tommy's Midwives

    • By Temitope (not verified) on 18 Feb 2017 - 10:34

      Hi, my water bag/sack came out at 20 weeks when I wanted to urinate, d water inside (urine color) drained and d membrane hung in my vaginal, I went to hospital immediately and they did scan, d doctor told me there is no fluid for the baby to survive and gave me option of evacuation which I didn't accept, so I was placed on bed rest in hospital after 28 hours I delivered the baby after hours of contraction. It really hurts, I miss my baby everyday being my first baby, but I really want to know what could have caused it. My doctor doesn't have any explanation as to what happened, I didn't feel any pain before and after d water bag came out. Please do you know what could have caused it?

    • By Midwife @Tommys on 20 Feb 2017 - 09:41

      So sorry to hear about the loss of your baby. Sincere condolences to you and your family. It can be very difficult to cope when you don't have a reason as to why this happened, unfortunatley without a full medical history it is hard to answer why this may have happened but it is important for you to know that it is unlikely to have happened because of anything you did. If you would like to discuss in more detail please call our midwives on 0800 0147 800 or email us at [email protected] and we can try to help you further.
      Best wishes

    • By FI (not verified) on 10 Feb 2017 - 19:23

      Hi, I lost my baby at 19and 2days, I started to bleed at 18 and was in and out of hospital, they have told me I had an infection and water broke, but said it wasn't an UTI, what other infection would cause bleeding and waters to break, I'm so scared to try for another baby incase this happens again.

    • By Midwife @Tommys on 13 Feb 2017 - 09:26

      Hi Fi.
      I am ever so sorry to hear about the loss of your baby. That must have been a difficult experience to process and try to understand.
      The best thing for you and your partner to do before you start trying for another pregnancy, would be to make a pre- conception appointment with a consultant obstetrician to discuss your history and the possible causes of infection. Without knowing your full medical and obstetric history, it would be very difficult to give you any accurate information - hence why i would suggest that an obstetric consultant from your local unit review you.
      Please take good care of yourselves and think about making that appointment.

    • By Mbali (not verified) on 10 Feb 2017 - 08:09

      Hi

      On Monday, 6 February 2017, I had a miscarriage, I was 16 weeks pregnant. I stayed in hospital for about three days and had the uterus evacuation operation on day 3. I was discharged on the forth day, but ever since the operation, I have been suffering from shortness of breath, chest pains and my temperature is unstable. What could be causing this?

    • By Midwife @Tommys on 10 Feb 2017 - 11:57

      Hi,
      I am so sorry to hear about your miscarriage and the loss of your baby. If you are experiencing these symptoms then it is very important that you are seen today by a health professional as it maybe that you have an infection or blood clot. Try to have an urgent appointment with your GP today, or else if you have been given a number to call if any concerns then call them, or if you cannot see anyone by this route then go to A+E. I must stress if you are experiencing these symptoms then you need to be seen today. Take care

    • By ab (not verified) on 3 Feb 2017 - 05:35

      my water break when I was 28 weeks and I was pregnant with twins but I lust them. I am pregnant now I am in 14 weeks am afraid so that it won't happen again. please what can I do

    • By Midwife @Tommys on 3 Feb 2017 - 10:34

      Hi,
      I am so sorry to hear about the loss of your twins and what you have been through. Understandably, this pregnancy is such an anxious and worrying time for you. It is very difficult to know if this will happen again, you do not say if they found a cause last time? However you should be closely monitored and having regular appointments and scans. If you would like to talk further in confidence then please do email us [email protected] with more about your history and we can try and support you best we can. Tommy's midwives.

    • By Anonymous (not verified) on 31 Jan 2017 - 15:19

      My water broke on 1-20-17. Prior to my water breaking I had a doctor appt. the previous week, in which they reassured me everything was fine. After my water broke suddenly, we rush to emergency to run test, in which they found no infection and as a result they could not give me a reason as to why my water broke. The doctors wouldn't do anything for the baby since I was 21 weeks, this makes me so angry!! I thought that even if with a heart beat it is still a human life, and that as doctors they should try and save my baby. That was not the case. I was monitor for a few days then sent home. My son was born on 1-26-17, with a strong heart beat, but unfortunately, he would not survive. I have been searching the Internet for answers but I can't seem to understand why this happened and so suddenly. This was my first pregnancy, and now i just feel uncertain if I would ever be able to go through this again.

    • By Midwife @Tommys on 2 Feb 2017 - 11:28

      So sorry to hear about the loss of your baby. Sincere condolences to you and your family. It can be very difficult to cope when you don't have a reason as to why this happened. It is important for you to know that it is unlikely to have happened because of anything you did. Please feel that you can call our midwives on 0800 0147 800 and we can try to help talk this through with you. Best wishes

    • By Cnfreamon (not verified) on 28 Jan 2017 - 08:51

      Monday November 14 around 3:20 while waiting on an eye appointment for Hubby and my water broke unexpectedly. Other than annoying foot soreness from wearing boots the day before nothing was wrong. We rushed to the women's bathroom were I proceed to give birth to our tiny son in blood and fluid. An ambulance was called and I was rushed to the hospital. I had to have an emergency D&C due to the placenta not coming out completely and causing hemorrhaging so I was admitted over night. Nothing was found wrong with my son or me... no infections or chromosome issues. What are complications I could have the next time I conceive? I have 2 previous un complicated healthy pregnancy before this.

    • By Midwife @Tommys on 30 Jan 2017 - 09:29

      Hi Cnfreamon. I am so sorry to hear what an awful time you went through in November. That must have been a very traumatic experience for both you and your husband.
      I am afraid without knowing your full medical history and previous pregnancy details, it is difficult to comment.
      It would be sensible to make a pre-conception appointment at your local hospital with an obstetric consultant to review your medical and obstetric history and try to make a plan of care if you were to go ahead and try for another pregnancy.
      If you wish to speak to a midwife, please feel free to call us on 0800 0147800 Mon to Fri 9am- 5pm to discuss this is more detail.
      Sadly, this type of pregnancy loss is often unexplained and no cause to be found. Our miscarriage and stillbirth research centre's exist for this very reason - that we would love to try to find a reason.
      Please take care of yourself.

    • By Anonymous (not verified) on 23 Jan 2017 - 16:01

      Lost all my amnotic fluid at 18 weeks but baby and I are still doing good. He is still well but only problem is he may have no lungs to make it outside the womb. Next appointment is the 2nd and they are thinking about taking him out since his chances for stillborn keeps becoming greater.
      Has there ever been any success after birth and a baby make it with just enough to tissue to survive and beat all the odds?

    • By Midwife @Tommys on 23 Jan 2017 - 16:19

      Hi there.
      Every baby and every pregnancy is so different! So, this means that yes, some baby's do "beat the odds" and some do struggle. Your midwife and obstetric consultant will be best placed to give you the most reliable information based on your personal medical and pregnancy history. The fact that baby is now 25 weeks is a great achievement, but they are likely to need to discuss many different options and outcomes in each scenario with you so that you can make a choice that you are most comfortable with.
      Good luck with everything!

    • By Rose (not verified) on 26 Jan 2017 - 21:49

      Yes, my water broke at 15 weeks gestation . Only pockets of fluid ( not much at all!! ) I continued on at home after being seen by specialist s. I was home until 25 to 26 weeks. Lasted until the end of 28 weeks. Baby was delivered naturally and weighed in at 3 pounds 12 onzes!!!
      Doctor were worries he would get catch up in the tissue and have bans ( permanent scaring or limb loss.
      He is perfectly healthy you would never know anything was wrong. He does get a bad chest cold whenever he gets sick and always will! But in my and my do tor's option he is a living miracle. Age 11 and gives me grey hairs every day!!!

    • By Patricia (not verified) on 29 Jan 2017 - 12:54

      Hi I read your post about your water breaking at 15 weeks. I've had some leaking from my membrane at 18 weeks and I'm currently on bed rest in the hospital, I was wondering if you have any dos and don'ts seeing as your have a success story. I would very much appreciate any tips you have as I am in need of hope for my twins

    • By Midwife @Tommys on 30 Jan 2017 - 09:39

      Hi Patricia.
      I am sorry to hear that your waters broke at 18 weeks and that you are on bed rest. Unfortunately, we don't have any do's or dont's, other than for you to listen to the advise of your obstetric consultant and midwifery team.
      Bed rest after early rupture of membranes, is the attempt to keep movement to a minimum in order to try to prevent early labour. Often, it is recommended that you raise your hips, waist and legs upwards on the hospital bed with the tilting mechanism of the electric bed, or with pillows etc. Reducing the effects of gravity by elevating your lower half is thought to help in some cases.
      I am sure that your obstetric team have gone through all of the risk factors with you and you are aware of all of the possible outcomes. If you feel that speaking to a midwife would be useful, then please feel free to call us on 0800 0147800 Mon to Fri 9am - 5pm.
      Please take care of yourself and rest up!

    • By Kayla (not verified) on 27 Jan 2017 - 03:05

      My water broke when I was 17 weeks. I'm glad your baby is still alive mine didn't make it. My e- mail is [email protected] I want to know if it's possible for them to survive. Praying for you.
      Sincerely,
      Kayla

    • By Ken (not verified) on 11 Jan 2017 - 20:50

      My water broke yesterday morning. Just wondering since its still early out of curiosity how long do baby usually stay in afterwards before actual labor occurs? I know everyone is diff but teally curious

    • By Midwife @Tommys on 12 Jan 2017 - 10:39

      Hi, it is difficult to be able to predict as you say. When your waters break early you and your baby should be closely monitored and it has to be taken day by day as to how the pregnancy is going. The doctors will try to keep your pregnancy going for as long as possible while the baby is safer inside you then being born. I hope that you have been to the hospital to be monitored and have a care plan in place, if not then please go straight away to be reviewed. Sorry it is not possible to give you a direct answer to your question, as you said, it is different for everyone. Good luck

    • By Kay (not verified) on 4 Jan 2017 - 02:10

      Hi i am 31 weeks and 3days and my water have broke, it started off with small amounts and now its soaking a pad, im at maternity unit now and the injected me with steriods for the baby lungs, my waters are coming out clear and im not having any pains and when they monitored the baby the heart beat and movements came out normal, what are the chances of holding it on for a few weeks because im not in pain at all and they havent found any infection in my urnine just waiting on my bloods and im not having any pains at all.

    • By Midwife @Tommys on 6 Jan 2017 - 09:38

      Hi,
      Firstly to be reassured that you are in the right place and being cared for in hospital. I am afraid I am unable to give you a definite answer as they will be taking it day by day weighing up how safe the baby is inside you vs delivering the baby early. You will be monitored regularly for signs of infection and the how well the baby is. Whilst there are no concerns it is safer for the baby to stay inside you, however if there are any concerns then they may induce you and deliver the baby. You may go in to labour naturally however this can happen at any time, it is difficult to say the chances of this happening, I am afraid it is a question of waiting and taking it day by day.

    • By Midwife @Tommys on 3 Jan 2017 - 16:42

      I am so sorry about your loss. I understand from your message that there was no infection which could have triggered the PPROM. In the UK, the NICE guidelines offer certain recommendations for women who, on transvaginal scan between 16 & 34 weeks, have a cervical length of <25 mm & who have had a previous preterm delivery or pregnancy loss between that gestation. The guidelines state that these women, such as yourself, should be offered either intravaginal progesterone or a cervical stitch. You should arrange a meeting with your Consultant and discuss this with him/her for future pregnancies. Good luck!
      Best wishes Tommy's Midwives

    • By thandi (not verified) on 26 Dec 2016 - 15:14

      hi am 29 am 15 weaks pregnant and my water broke yesterday but am at the hospital they said I must be at bed rest so am so scared cz this is my 5 preg and I've lost all my 4 preg at 17weaks like this so they stitched my womb on the seventh of this month so am so scared pls help me will this 1 survive this but my baby is moving we'll and normal

    • By Anonymous (not verified) on 26 Dec 2016 - 14:44

      Hello,

      My waters broke and 18 weeks and sadly I lost the baby. My cervix was closed and long (at the time of rupture), but I had on off spot bleeding and some fluid from 13 weeks which could have been amniotic but at the time I wasn't aware of it . Once my waters broke on internal examinations a polip on the cervix but nothing was really discussed about this. I also had a low lying uterus which may have moved up during pregnancy had it continued. I hadn't smoked/ drunk during the pregnancy and was otherwise healthy.

      There was no trace of infection, and the consulatants could not determine what had caused the rupture.

      I'm very nervous about future pregnancies. Could you please give advice on what can be done to prevent a PPROM in future pregnancies? Doctors just say it is once of those chance things that just happens, but having read online it looks like I am now at a higher risk of it repeating and I want to do everything I can to prevent it

      Kind regards

    • By Midwife @Tommys on 5 Jan 2017 - 15:34

      So sorry to read about your miscarriage at 18 weeks. We hope you are beginning to recover and apologies for delayed response. We are closed over Christmas and new year.
      The doctors are correct that there is little that you can do to prevent this but it is known that smoking does increase the risk of pprom. There is also an association with GI tract infection. It may be that you will never know the cause and it is unlikely that you could have changed the outcome. Best wishes to you x

    • By pat (not verified) on 22 Dec 2016 - 07:21

      I noticed a my water broke and I went to my hospital, after staying for 4days I requested to be discharged because of funds and some other things and I'm having enough rest at home as it was in the hospital , ,now the fluid is becoming pinkish..should I go back to the hospital? Pls advice

    • By Midwife @Tommys on 22 Dec 2016 - 10:32

      Hi,
      From your question I am not sure how many weeks' pregnant you are. If you are more than 37 weeks' pregnant then you need to be seen at the hospital to talk about induction of labour if your waters have been broken for several days. Some pinkish in the water can be normal if you are contracting and at the end of your pregnancy, providing you are not having any constant pain and baby is moving well with no bright red bleeding. If you are less than 37 weeks' pregnant I would suggest that you need to go to the hospital for monitoring. Either way I think it is important to contact your hospital for a review.

    • By sandara (not verified) on 26 Apr 2017 - 12:47

      My water break at 34weeks and I go to hospital I spend 3days in d hospital am at home now nd d water is still coming out since 4days now at can I do please I don't want to lose my baby

    • By Midwife @Tommys on 27 Apr 2017 - 16:03

      Hi, I am sorry to hear you are having a worrying time at the moment. Please be aware that babies born at 34 weeks have a very high rate of survival however when waters break early it is usually a balance of how long it is safe to keep the baby inside you vs. risks of prematurity. The doctors should have started you on a course of antibiotics and talk you through signs of infection to be aware of. If you develop any feverish symptoms such as a high temperature, feeling shivery or unwell then you much contact the hospital. Also if you have a concerns about baby's movements or if the waters are not clear but pink, red or green or if the loss becomes offensive smelling. If you are unsure of anything then call your maternity ward to speak to a midwife.

    • By Anonymous (not verified) on 22 Dec 2016 - 22:32

      Yes if in doubt get checked out, hope all is ok, good luck x

    • By Anonymous (not verified) on 17 Dec 2016 - 01:24

      My water break at 16 weeks but now I'm 18mnths can feel baby movements my gynaecologist told me to do check ups after every 2weeks till reach 26weeks water still leaking but not much and sometimes bleeding bt not heavy pinkish one and some pains on abdominal pls help

    • By Midwife @Tommys on 19 Dec 2016 - 09:44

      Waters breaking at 16 weeks means that you and your baby need to be closely monitored. You will continue to loose water as your baby will continue to produce it. If you feel unwell,are concerned about any bleeding becoming heavier, are having abdominal pain, have a temperature of 37.5 and over, or the water becomes unusual or foul smelling, then you need to seek medical advice as soon as possible. Please look after yourself and make sure you stay in close contact with your midwife/doctors.

    • By portia (not verified) on 13 Dec 2016 - 22:37

      hi am 14weeks pregnant and having a greenish discharge . is babby safe?

    • By Midwife @Tommys on 14 Dec 2016 - 11:38

      Hi Portia, during pregnancy vaginal discharge increases due to pregnancy hormones and increased blood supply to your uterus and cervix. The discharge should be white or clear and actually prevents infection tracking up to the baby.
      You don't mention if there are any other symptoms with the greenish discharge. If you have any pain when urinating, itching or an unpleasant odour these could signal an infection that needs treatment. It would be a good idea to make an appointment with your GP as if it is an infection this can be treated safely with antibiotics/antifungals to reduce the risk to your baby.
      Please give us a call if you would like to talk in more detail about this on 0800 0147 800 otherwise make a GP appointment today.
      Tommy's Midwives

    • By amanda (not verified) on 25 Nov 2016 - 02:15

      I'm 27 weeks and 2 days and my water broke due to having an unknown std I've bin giving antibotics and the steriods for baby and me they are makin me stay at hospital the whole time untile they induce early labor at 34 weeks,I've bin here for over a week they also told me I was already dilated 2cm,now my backs killing me and my neck,contractions here and there,and the amniotic fluid is now kinda bloody pinkinsh just not bad I'd said more pink,keeps going back and forth darkgolden yellow to pinkish.....what does this mean??? Cause this hospital don't listen

    • By Midwife @Tommys on 25 Nov 2016 - 10:36

      Hi, I am so sorry to hear you are having a difficult pregnancy and must be a worrying time for you. It is good that you are in hospital and being monitored regularly. It is difficult to say exactly what is causing the change in colour in your waters however it could be some 'show' which is bloody mucus released when there is changes to your cervix. Have you told the midwives looking after you about your pains? Be careful to monitor your baby's movements and if you have concerns then tell them straight away. Without your notes and full history it is very difficult to advise you further however when the doctors come to see you, make sure you understand everything they are saying to you, if not ask them to repeat it or explain it further. IF you would like to talk more please email us [email protected]

    • By tanya Lloyds (not verified) on 18 Nov 2016 - 18:37

      My water broke in 7 days what is it

    • By Midwife @Tommys on 21 Nov 2016 - 08:47

      Hi, it's a little difficult to know what it is exactly that you are asking. Please contact us on 0800 0147800 to speak to a midwife or email us privately on [email protected]

    • By Midwife @Tommys on 15 Nov 2016 - 09:39

      I am so sorry to hear about the loss of your baby at 17+ weeks gestation. If you feel it would help to talk to one of us , a midwife is always available to chat from 9am till 5 pm Monday to Friday so feel free to give us a call on 0800 0147 800 or [email protected] Allow yourself time to grieve.

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