Your unborn baby lies in an amniotic sac of fluid or ‘waters’. ‘Waters breaking’ means that the sac has ruptured or broken. Your waters normally break around the time labour is due but in around 2% of pregnancies they break early for various reasons (see below).
If your waters break before your baby has reached full term (37 weeks), the medical name for it is preterm prelabour rupture of the membranes, or PPROM. If this happens early, before the contractions start, it can (but does not always) trigger early labour.
This page deals with waters breaking early before 37 weeks. Read here about what to expect when your waters break AFTER 37 weeks.
Have my waters broken early (PPROM)?
If your waters have broken early, you will experience it as a trickle or a gush of water from your vagina. It is likely to continue leaking once it has started If it isn't too heavy you can use a sanitary towel to catch it. This will also allow you to see what colour it is, which will be helpful information for health professionals. It may be pinkish if it contains some blood, or it may be clear. If it greenish or brown go to the maternity unit as soon as possible. If it is heavy, you may need to use a towel.
Phone your maternity unit immediately for advice.
What are the risks if my waters break early (PPROM)?
If your waters break early the risks and treatment are dependent on the stage of pregnancy you are at.
- You are at risk of going into labour prematurely – the health risks for the baby of early birth are greater the younger they are.
- If you do not go into labour, you and the baby are at risk of infection.
The doctors have to balance these two considerations. If the waters have broken because of infection, you and the baby have a high risk of getting the infection and you may need to deliver sooner to prevent this.
If the waters have broken but there is no infection currently present, you and the baby are still at risk but the immediate risk is lesser and your treatment will depend on your stage of pregnancy.
If you are under 24 weeks of pregnancy and the baby is born, sadly, it is unlikely the baby will survive.
What will happen if my waters break early (PPROM)?
You are likely to have an internal examination. This will allow the doctor to look at your cervix and check:
- if the leaking fluid is amniotic fluid
- if it is changing in preparation for labour
- to check for infection by taking a swab.
You might have an ultrasound scan to estimate the amount of fluid left around your baby.
If only a very small amount of amniotic fluid leaks, it is not always easy to be sure whether your waters have broken.
- You may be advised to wear a pad and stay in hospital for a few hours to monitor the situation.
- If you go home but continue to leak fluid at home, you should return to the hospital again.
If your waters are shown to have broken, you will be advised to come into hospital for at least 48 hours. You and your unborn baby will be closely monitored for signs of infection. This will include having your temperature and pulse taken regularly, and your baby’s heart rate will also be monitored.
Going home from hospital with PPROM
If there is no infection present you may be able to go home. You will be at risk from infection however, and you will need to self-monitor by
- checking that your temperature is normal (37 °C or less) every 4–8 hours
- checking the colour of the fluid does not change by wearing a pad.
You should avoid having sexual intercourse.
Contact your doctor or midwife and return to the hospital immediately if you have:
- a raised temperature (more than 37 °C)
- flu-like symptoms (feeling hot and shivery)
- vaginal bleeding
- if the leaking fluid becomes greenish or smelly
- abdominal pain
- if you are worried that the baby is not moving as normal.
Inducing labour or premature labour with PPROM
If you are past 34 weeks the doctor will weigh up the benefits of inducing labour before the due date to avoid the risk of infection with the disadvantages of being born premature, and may make a recommendation for early delivery.
You may need to stay in a hospital that has a neonatal unit and be monitored carefully for any sign of infection. You may also be treated with antibiotics, corticosteroids and magnesium sulphate (if you are less than 30 weeks) to help prepare your baby in case the are born prematurely.
Over 80% of women who have PPROM deliver their baby within seven days of their waters breaking.
What if there are no waters left in my womb?
Your baby’s amniotic sac has to have the right amount of amniotic fluid for the pregnancy to continue normally. If there is a break in the waters your baby will continue to produce amniotic fluid.
Before 23 weeks, the baby needs ‘waters’ to be present for their lungs to develop normally. Loss of water before this can lead to severe problems with lung development that can be critical after birth. After 23 weeks your baby does not need the amniotic fluid so much, so low levels of fluid may not be a problem in itself, but if the low levels are due to your waters breaking then there is a risk of infection.
Causes of waters breaking early (PPROM)
Intrauterine infection is present in around a third of women with PPROM. In many cases however it happens without any infection being present. The reason for these cases is unclear, however it has been linked to heavy smoking (more than 10 cigarettes a day) in pregnancy
A slight increase in discharge during pregnancy is normal, especially when the weather is hot. You may find that it is a mild-smelling, milky fluid, which is fine.
- RCOG (2012) Information for you When your waters break early, Royal College of Obstetricians and Gynaecologists
- J David, Steer P et al (2010) High risk pregnancy, management options, Elsevier Saunders
- RCOG (2006) Preterm Prelabour Rupture of Membranes, Greentop guideline 44, Royal College of Obstetricians and Gynaecologists
- England MC, Benjamin A, Abenhaim HA (2013) Increased Risk of Preterm Premature Rupture of Membranes at Early Gestational Ages among Maternal Cigarette Smokers. Am J Perinatol. 2013 Jan 17
ℹLast reviewed on October 5th, 2016. Next review date October 5th, 2019.
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
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
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
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
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
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
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!
By monique (not verified) on 27 Feb 2018 - 08:50
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
By Midwife @Tommys on 28 Feb 2018 - 10:27
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
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
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 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
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
By Mellisa (not verified) on 3 Feb 2018 - 05:01
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
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.
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
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
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,
By Midwife @Tommys on 1 Dec 2017 - 11:22
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
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
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
By Anonymous (not verified) on 16 Aug 2017 - 05:08
Im 26 weeks n just found out tht i hve reprured membranes n hve littl fluids left. What r th chances of my bby surviving. What would you sugest is th best plan 4 us ryt nw. Im addmited put on antibiotics n bed n we closely monitored th heart beat is good n i still feel moving. How long can she stay inside me with little or no fluids. Plz advice
By Midwife @Tommys on 16 Aug 2017 - 09:45
Hi there. I am so sorry to hear what a difficult time you are going through. I am glad to hear that you have been admitted and are on bed rest and close monitoring- being taken good care of by being put on antibiotics too. Your obstetric doctors and neonatal doctors are best placed to discuss these options with you as they are caring for you and so know your full medical history, obstetric history and current status with regards to your blood tests and scans etc. Being 26 weeks means that she can stay inside with little or no water around her, but your team caring for you will be balancing keeping her inside you, and the decision to deliver her early if there is a concern about ongoing infection if there is one (you have been put on antibiotics, so i presume that they might suspect an infection.) It is great to hear that she is doing well, moving around inside and with a good heartbeat. This can be quite common and many go on to carry their baby for many weeks more after PPROM, but each case is different and the plan of care will be made with you and your baby as the focus, and something that you are comfortable with. Please feel free to contact us again if you have any more questions or concerns. Please take care of yourself!
By Sibbyrose (not verified) on 8 Aug 2017 - 20:46
My water's broke at 24 weeks i am now 32 weeks and 5 days I was getting induced at 34 weeks now they are saying i have to go full-term and isn't listening to me.
By Midwife @Tommys on 9 Aug 2017 - 09:14
I am sorry to hear that you have been having a difficult time! You are well within your rights to make an extra appointment with your midwife/obstetric doctor to discuss and amend this plan of care if possible. They need to discuss with you, why they feel that your situation has changed in now allowing you to go full term instead of the planned induction at 34 weeks. And then you can voice your concerns in relation to this. Usually, it is safer for the baby to stay in utero and grow/develop a little more. There is a fine balance between early delivery and optimal health of the baby. Please get another appointment made as urgently as you can in order to discuss this further with your care team. You could also contact your hospital's Consultant Midwife who could become involved in your care plan and help to inform and guide you further. Please take good care of yourself
By Anonymous (not verified) on 27 Jul 2017 - 08:16
I lost my little boy 2 weeks ago at 34 weeks, my waters broke at 33 weeks out the blue, I had monitoring & antibiotics, sent home. Went back 4 days later they did bloods and listened to his heart beat, all fine so sent home. Movement stopped 2 days later and that's when we found we lost him. I can't help but feel they should of scanned me to check everything was still working, cord & placenta wise. They said my placenta has started to come away and there was a clot, the cord was wrapped around his ankle but couldn't be sure if these contributed to his death or not. I read somewhere pprom can cause your placenta to come away..
I just feel like I'm going to get fobbed off with it just been 'unlucky'.
I pprom with my girl at 35 weeks aswell but they delivered her quicker. Could having pre cancerous cells removed from my cervix keep causing my waters to break? I never go into labour they just go spontaneously, wondering if it's worth getting my cervix looked at? Thanks
By Midwife @Tommys on 27 Jul 2017 - 12:23
Hi, thank you for sharing your story, we are so sorry to hear of the loss of your little boy, we can't even begin to imagine how you and your family are feeling at this time. It is understandable that you want answers to the questions that you have. It is difficult to comment without your hospital notes and having more information. It would be worth contacting the hospital to have a debrief of what has happened and what were the reasons behind the management of your care.
With regards to the treatment on the cervix to remove pre cancerous cells, will all depend on the type of procedure that you had. There may be a risk of premature birth being linked to cervical treatment but again this would depend upon the procedure that you had. It would be advisable to check to see if you did have an invasive procedure on the cervix that may be a contributing factor, your GP should be able to give you more information.
If you would like to talk more about this them please call or email the Tommy's Midwives on [email protected] or 0800 0147 800 9am-5pm Monday to Friday. Take care Tommy's Midwives x