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
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.
- 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 Midwife @Tommys on 8 Jun 2017 - 11:53
Hi, we are sorry to hear that you are in hospital and what you are going through, it must be very worrying at this time. When waters break early, this does increase the chance of premature birth so being in hospital and under close observation is this right place for you to be right now. It is good that you have been taking antibiotics and that there are no signs of an infection at this stage. It is understandable that you are worried for you and your baby. It is difficult to predict any outcomes at this stage but as you are already in hospital, we would advice that you ask to speak to whoever is caring from you at this time, be it a midwife or your doctors. They will be able to look at your hospital notes and explain what the plan of care is going forward. Remain positive and try and rest when you can. You can always contact the midwives directly here on 0800 0147 800 Monday to Friday 9am-5pm or email [email protected] Take Care Tommy's Midwives x
By Rossy (not verified) on 28 May 2017 - 22:50
I have just experienced a water break i am 17 weeks pregnant I have observed this first water break after having sex is this a sign of any danger to my baby please reply me as soon as possible i am worried
By Midwife @Tommys on 31 May 2017 - 09:28
Hi Rossy. It is really very important if you have not already done so, for you to seek urgent review at a&e if your waters have broken at 17 weeks. If left un-diagnosed, you are at risk of a nasty infection. Please do take good care of yourself and feel free to call us on 0800 01047800.
By Miss SA (not verified) on 27 May 2017 - 23:43
I am currently 35 weeks pregnant, my waters broke exactly 2 weeks ago.. 3 days ago I noticed I have a very painful cyst or could possibly be a abscess around the private area.. it is growing in size & getting more painful! Could this have any affect on the babies Health?
By Midwife @Tommys on 31 May 2017 - 09:32
Hi Miss SA
If your waters broke two weeks ago, i would hope that your midwife and obstetric team are closely monitoring you and that you are on antibiotics?!
It sounds like you really do need to take yourself into hospital to have the lump assessed and treated urgently.
Please take good care of yourself!
By Anonymous (not verified) on 7 May 2017 - 06:09
I am 29 weeks pregnant but I am not sure about that my water is broke or not but I have something discharge from my vagina
By Midwife @Tommys on 8 May 2017 - 12:15
Thank you for your comment.
If you are not sure if your water has broken, it is very important that you contact your pregnancy unit for advice-they should ask you to come in for an urgent check up to ensure that you and your baby are well and also to do some tests to confirm if the water has broken or not-this can include an internal examination with a speculum which lets the doctor look more closely at the neck of the womb to se if there is any water leaking or if there is any other cause for the discharge.
Increased vaginal discharge is very common in pregnancy, but this should be white or clear sticky mucus. Anything different to this should always be checked.
I have attached a link that you may find helpful-
Please do not hesitate to contact us for further advice or call our helpline 0800 0147 800
By Ashley S (not verified) on 30 Apr 2017 - 07:48
Hi I am 18 weeks pregnant and no fluid around my baby what are the chances of the baby survival and is there anything I can do to try to obtain fluid which they said has been never there.
By Midwife @Tommys on 2 May 2017 - 15:12
I am really sorry to hear that you have been told that there is no fluid around your little one at the scan. This condition is called oligohydramnios.
You don't mention in your post if there is any infection but your membranes haven't ruptured so are the doctors able to identify what is causing the reduced production of fluid?
I am afraid it is not possible to increase amniotic fluid around the baby, there is no medication or anything that you can eat or drink that will do this.
There should be an opportunity to have a discussion with your obstetrician so that you have a management plan and you know what to expect if the fluid around your baby is not increasing and how this impacts your baby's development. If you can take a list of questions with you to your appointment and always have the support of your partner or close friend/relative at each hospital visit.
The risks associated with oligohydramnios depend upon the gestation of the pregnancy Ashley. Amniotic fluid is vital to each baby's development. The baby has room to move and grow and the fluid protects the baby’s cord from being compressed. The fluid allows development of limbs, muscles, lungs and gut. The earlier the lack of fluid is identified the more concern we have for the baby's development which is severely affected without it.
I can only imagine how worrying this must be for you. This ‘wait and see’ approach is a very difficult situation to be in.
Please take good care of yourself and stay in contact with us.
Anna -Tommy's Midwife
By Janice (not verified) on 10 Apr 2017 - 19:13
27 weeks pregnant and lost all embryonic fluid I have Brown and yellowish discharge my babies heart rate is 170 to 190 and the doctor still want to keep to the baby in. I may have an infection but they say my white blood cells are normal what should I do ?
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
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]
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.
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
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
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
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
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
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
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.
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
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
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
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
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.