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Preterm prelabour rupture of membranes (pPROM) is when the amniotic sac breaks or leaks before contractions start. It’s called preterm when it happens before 37 completed weeks of pregnancy. Preterm labour may begin shortly after pPROM occurs.
The cause for pPROM is often hard to identify and it often happens unexpectedly. Some known causes of pPROM include:
Your healthcare provider will watch you closely until your baby can be safely delivered. Depending on the number of weeks completed in pregnancy, your healthcare provider may want to start (induce) labour with medicine if labour doesn’t start on its own. This is meant to speed up delivery and lower the risk of infection.
Treatment for pPROM may include:
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your healthcare provider or nurse call line if you are having problems. It is also a good idea to know your test results and keep a list of the medicines you take.
Pregnancy can be an emotional and unpredictable time. When you have complications in your pregnancy you may have more stress. This may lead to other concerns for you and your family. Talk to your healthcare provider about how you’re feeling and any concerns you have.
How to check for contractions
It’s important to know how to feel your belly for contractions of your uterus in case you go into preterm labour. To feel for contractions:
Never ignore the symptoms or assume that they mean nothing. It’s better to go to the hospital for an assessment than to wait too long.
Share this information with your partner or a friend. They can help you watch for warning signs.
Call 911 anytime you think you may need emergency care. For example, call if:
Call your healthcare provider, midwife, or nurse call line now or seek immediate medical care if:
Watch closely for changes in your health, and be sure to contact your healthcare provider, midwife, or nurse call line if you have any questions or concerns.
To see this information online and learn more, visit https://MyHealth.Alberta.ca/health/AfterCareInformation/pages/conditions.aspx?hwid=custom.ab_pregnancy_pprom_ac_adult
For 24/7 nurse advice and general health information call Health Link at 811.
Current as of: May 29, 2023
Author: Antenatal Public Health, Alberta Health Services
This material is not a substitute for the advice of a qualified health professional. This material is intended for general information only and is provided on an "as is", "where is" basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use.