What is the first treatment for premature rupture of membranes?

Premature rupture of membranes means the amniotic sac has broken before labour begins. If this happens before term, a steroid injection may help prepare the baby's lungs when early birth is a concern. The maternity team also checks your temperature, pulse, symptoms, the baby's heart rate and the fluid's appearance. Antibiotics or other medicines may be considered according to the clinical assessment.

Contact your maternity unit promptly if you think fluid is leaking. Note when it started, its colour and smell, and whether you have contractions, bleeding, pain or reduced fetal movement. Use a pad rather than inserting anything into the vagina, and follow the hospital's instructions about examination, activity and bathing. The team may recommend observation, admission or delivery; an induction may be discussed when continuing the pregnancy is less safe.

Seek urgent maternity assessment for fever or chills, feeling unwell, abdominal tenderness, foul-smelling or green fluid, vaginal bleeding, regular contractions, or reduced fetal movement. These signs can indicate infection, labour or a problem affecting the baby and should not wait for a routine appointment.

Ask how far along the pregnancy is, whether steroids or antibiotics are appropriate, how infection and fetal wellbeing will be monitored, and what findings would change the plan to delivery.