What should you know about prom gynaecology?

The membranes are the sac holding amniotic fluid around the baby. In PROM, they open before contractions establish. The leak may be a gush or a repeated dampness. If this happens before the pregnancy is close to term, clinicians may call it preterm PROM and balance the risks of infection against the risks of an early birth. Assessment usually considers gestational age, fluid appearance, temperature, pain, contractions, bleeding, fetal movements, and the baby's heartbeat.

Call your maternity service when you suspect your waters have broken. Use a pad rather than a tampon, note the time and fluid appearance, and avoid sex or putting anything into the vagina until you have advice. The team may confirm the leak, check for infection, monitor the baby, and discuss observation or birth. An [Antenatal Steroid Injection](/treatments/pregnancy-and-birth-care/antenatal-corticosteroid-injection/) may be discussed when early birth is a concern. [Induction of Labour](/treatments/pregnancy-and-birth-care/induction-of-labour/) may be considered when continuing the pregnancy is less safe.

Seek urgent maternity care for fever, chills, worsening abdominal pain, regular contractions, vaginal bleeding, green or foul-smelling fluid, reduced fetal movements, or a cord-like structure at the vaginal opening. Emergency help is needed for severe pain, collapse, or heavy bleeding. Do not wait for labour to become strong before reporting a suspected rupture.

Ask how the rupture will be confirmed, whether you need hospital monitoring, which infection symptoms matter, how the baby's wellbeing will be checked, and what would lead to induction or birth. Ask whether steroid treatment is suitable, what activities are allowed, and whom to contact at night.