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Water breaking early (rupture of membranes)

Also called: Water breaking early, PROM, PPROM, leaking amniotic fluid

The bag of water breaking before labor starts, or before 37 weeks. Call your care team or go to labor and delivery.

What to doCall your care team
Before 37 weeksPPROM; urgent
NoteTime and color of fluid

Overview

Fluid may gush or trickle. Infection risk rises the longer the water is broken.

Symptoms

Common signs:

  • Fluid leaking from the vagina in pregnancy

Less common

  • Fever

When to get medical care

Call 911Heavy bleeding, severe belly pain, a seizure, or fluid that's green or brown with fewer baby movements: call 911 or go to labor and delivery.
Get care todayAny fluid leaking, especially before 37 weeks.
See a doctor soonQuestions about leaking or wetness late in pregnancy.

Causes

Many causes.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Infection
  • Smoking

Possible complications

Diagnosis

Your team tests the fluid.

Tests

Tests, if needed:

  • Fluid test:
  • Ultrasound:

Treatment

Go in.

Self-care

  • Wear a pad, not a tampon
  • Don't have sex or take baths
  • Note the time and color of the fluid

Prevention

To lower your risk or prevent problems:

  • Treat infections in pregnancy

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an OB-GYN or midwife; high-risk pregnancies may see a maternal-fetal medicine doctor.

Children, pregnancy, and older adults

  • Before 37 weeks: Hospital care is needed.

Outlook

Care improves outcomes.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Will labor be induced?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Water breaking early (rupture of membranes)

Sources

Last updated 2026-11-12.