When is induction of labour recommended for premature rupture of membranes?

Premature rupture of membranes means the fluid-filled membranes break before labour begins. The plan depends on how many weeks pregnant you are, whether the baby is ready for birth, whether there are signs of infection, and the baby’s position and monitoring. Your team may examine you, check your temperature and pulse, assess the fluid, and monitor the baby. If the membranes rupture very early, specialists may discuss observation, medicines and a balance between prolonging pregnancy and reducing infection risk.

Contact your maternity unit promptly for advice, even if the fluid leak is small. Note when it started, its colour and smell, and whether contractions or movements change. Use a pad rather than inserting anything into the vagina, and follow instructions about bathing, examinations, antibiotics or hospital observation. If induction is advised, ask how the cervix will be prepared and how the baby will be monitored. Learn about [Induction of Labour](/treatments/pregnancy-and-birth-care/induction-of-labour/).

Seek urgent maternity care for fever or chills, feeling unwell, foul-smelling or green fluid, vaginal bleeding, significant abdominal pain, regular contractions, or reduced baby movements. A visible cord or something protruding from the vagina is an emergency: call emergency services and do not push it back.

Ask how the rupture was confirmed, how infection will be checked, how long observation is suitable, and what findings would change induction to another birth plan.