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F. A. Q. s

Q: What is pProm ?

Preterm Premature Rupture of Membranes or pProm is the rupture of the amniotic sack in pregnancy prior to labor beginning and before 37 weeks gestation. This pregnancy condition occurs in 30-40% of preterm births and is the leading identifiable cause of preterm deliveries (Medscape, 2012). Estimated to occur in roughly 150,000 pregnancies each year, pProm is a complication that carries significant risks to the mother and her child. Immediate delivery, delayed interval delivery (twin gestation), and expectant management are the options available to those given the diagnosis of pProm; each with their own risks and benefits.

Q: My water broke early. What can I do ?

First, don't panic. Stay determined for a positive outcome. While this isn't an ideal situation by any means, there are a lot of positive success stories available of pProm Moms and babies who have survived the impossible. Make sure to schedule an ultrasound to check for certain, and be sure that you have a follow up in a few days to check your amniotic fluid levels again. A slow leak may not show up for days or weeks. Trust your instincts, and don't give up if something doesn't feel right.
It's essential for pProm Moms to be seen by a Perinatologist. These doctors are Maternal Fetal Medicine Specialists and often care for high risk pregnancies. If you have pProm'd, you are now considered high risk. Check out the our list of Recommended Providers for doctors in your area.
Review our two guides for Expectant Management: The Regimen and Perinatal / Neonatal Plan.
Throughout this process you will hear that the longer you can remain pregnant, the better chances you have at making it to viability and to delivery. The first 24-72 hours post rupture are the highest risk for infection. There are a lot of factors to consider, but remember this: whatever fluid you are leaking, the baby once had. We like to think of those leaks as early diaper changes. There may be no rhyme or reason to your leaking, but we advise you to lay how you leak the least.
See the New to pProm Page for more information.

Q: What support is available for me ?

Support of all levels is available. First, we offer One to One support locally. A pProm Mom can take you under their wing and be a first point of contact for everything happening. We have local support groups that may be available in your area. If you prefer to have an online connection, we offer a forum with a lot of great resources. Many of our pProm Moms are active on Facebook and BabyCenter, where you can ask questions day and night and hear responses from people around the world.

Q: What should I ask my doctor ?

The most important things to establish with your doctor once you have determined a course of management are the "What-If's". We recommend asking what would happen in the event of: bleeding, infection, reaching viability or 24 weeks gestation, reaching 34 weeks gestation, growth restrictions, bed rest and home restrictions, vitamin regimens, plans for hospital bed rest, and availability of a level 3C or 4 NICU with high frequency ventilation and nitric oxide up to 40% available. (See the New to pProm page for more information) 

Q: Is your organization pro-life or pro-choice ?

The PPROM Foundation aims to provide resources and support for those diagnosed with pProm. We provide guidance and information on Expectant Management, or the continuation of pregnancy in the event of a potential adverse outcome for the mother and/or her child. We hope that those given this diagnosis will have the benefit of the most informed decisions, whatever they may be, and we will support the families in their pProm journey and beyond.

Q: I have specific medical questions. What should I do?

The goal of the The PPROM Foundation is to provide resources and support for those going through pProm. Although we have practical and first hand knowledge of the pProm and the other problems that women and their babies may face while enduring this journey, we are not your medical providers. Please be advised that the resources and guidance on this site is strictly informational and all questions should be directed to your care providers. We do not take responsibility for the accuracy of such information provided or the means in which it is used. **If an emergency situation or question arises of which you are unsure of the answer, please contact your on-call physician or emergency services immediately.**