Finding the right medical team is an important part of navigating a high-risk pregnancy.
The PPROM Foundation does not recommend or endorse individual healthcare providers or hospitals. Instead, we encourage parents and families to use professional directories and ask questions about the level of maternal and neonatal care available in their area.
Please note: in order to find the appropriate medical care for your pregnancy, you may need to travel.
A Maternal-Fetal Medicine specialist (MFM) is an obstetrician with additional training in high-risk and complicated pregnancies.
The Society for Maternal-Fetal Medicine provides a searchable directory of MFM specialists throughout the United States.
Find a Maternal-Fetal Medicine Specialist — Society for Maternal-Fetal Medicine
If you have been diagnosed with PPROM, ask your current obstetric provider whether consultation with Maternal-Fetal Medicine is appropriate.
The American College of Obstetricians and Gynecologists provides information to help patients locate an obstetrician-gynecologist.
Find an OB-GYN — American College of Obstetricians and Gynecologists
With PPROM, the hospital where care or delivery takes place may be as important as the individual provider.
Depending on gestational age and medical circumstances, patients may need access to:
Maternal-Fetal Medicine;
a hospital experienced in high-risk pregnancy;
24-hour obstetric care;
Neonatology consultation;
a Level III or Level IV NICU; and
transfer to a higher level of maternal or neonatal care when necessary.
Not every hospital provides the same level of care for very premature infants.
Learn About Levels of NICU Care — March of Dimes
When choosing or evaluating care, consider asking:
Does this hospital have Maternal-Fetal Medicine specialists?
Does the hospital routinely care for patients with PPROM?
What gestational ages does the hospital manage and deliver?
What level NICU is available?
Does the NICU routinely care for extremely premature infants?
Can I meet with Neonatology before delivery?
If a higher level of care is needed, where would I or my baby be transferred?
Can transfer to a higher-level hospital occur before delivery when medically appropriate?
What outcomes does this hospital see for infants born at the gestational ages being discussed?
Who should I contact if my condition changes?
Medical care available during very early PPROM may differ by hospital, provider, state law, and individual circumstances. Current professional guidance for previable and periviable PPROM is available from the Society for Maternal-Fetal Medicine.
Read SMFM Consult Series #71: Management of Previable and Periviable PPROM
Laws affecting pregnancy care also differ by state and may affect the options available when serious complications develop.
Review State-by-State Abortion Laws and Resources
If you may travel or receive care in another state during pregnancy, consider reviewing the laws in both your home state and the state where you may receive medical care.
The PPROM Foundation does not certify, evaluate, rank, or endorse individual healthcare providers or hospitals.
Directories and hospital information can change. Confirm directly with the provider or hospital that the services needed are currently available.