(Lore, Marybeth: Umbilical Cord Prolapse and Other Emergencies, Vol 2, Chap 78).

Cord Prolapse from Medscape

Chorioamnionitis and Sepsis are serious infections that women and their babies face in PPROM. If an infection is suspected, delivery of the baby is the safest option to prevent maternal sepsis. While rare, cases of maternal mortality from infections in PPROM have occurred.

Signs of infection may be: temperature change, foul discharge, abdominal pain or pressure, cramping, etc. Notify your provider immediately if there are signs that may be concerning to you.

Sepsis in Obstetrics Risk Calculator

Diagnosis and Management of Clinical Chorioamnionitis

Prolidase, Matrix Metalloproteinases 1 and 13 Activity, Oxidative-Antioxidative Status as a Marker of Preterm Premature Rupture of Membranes and Chorioamnionitis in Maternal Vaginal Washing Fluids

Bleeding is very common in PPROM. Most often bleeding comes from the placenta. Blood in fluid is like drops of red food coloring in water - the color and consistency may change often.

Placental Abruption Clinical Presentation from Medscape

If you experience bleeding, take note of the properties and qualities of the bleeding (color, consistency, quantity, timing, volume, etc). Any new bleeding or changes in bleeding should be reported to your provider immediately.

Providers often mention physical deformities as a complication of PPROM. Babies exposed to oligohydramnios (low fluid) in the intrauterine environment are more likely to develop orthopedic complications. Statistically, joint contractures and physical abnormalities are seen in approximately 3% of all cases; the most common being club foot, hip dysplasia, and major joint contractures.

For more information on Arthrogryposis Multiplex Congenita, see

Limb Deformations in Oligohydramnios Sequence: Effects of Gestational Age and Duration of Oligohydramnios