How information is relayed to the patient, how the negatives are described and the quality of care the patient receives from the team, regardless of outcome, all have to be considered very carefully.



Be prompt in treating the patient. PPROM should be treated as an emergency and not just as the next baby loss.





Remain professional at all times.




Patients should be reassured that their medical team support the decisions they have made.





Remain open to patient suggestions and requests throughout the process.





Be mindful of the the fact that, regardless of outcome, the vast majority of patients are experiencing the unknown and naturally suffering considerable mental anxiety.  


Professional considerations

Listenening to the patient - They are the first clinical symptom. 'Mums know best' rule should apply.  


A patient should not be sent home without an emergency scan. Even a day can make the difference.


The use of new technology

Introducing new tests and/or sanitary pads that detect the waters breaking and any infection present.

However should the patient lose a large percentage of her waters this test is rendered ineffective.

Therefore as a backup, alongside the Group B Strep testing, a swab should also be taken to check for fluids.


Here are the ROCG guidelines for professionals 



Better ways to detect

P : Prompt

P : Professional

R : Reassurance

O : Open-minded 

M : Mental well-being 

Little Heartbeats PPROM Presentation 

© 2015

Important notice:


We are not medical professionals. We are simply a group of women who have a shared personal experience.

We wish to publish these experiences in the hope that others may better educate themselves.

All advice has therefore been freely and voluntarily submitted.

However, to reiterate, for official current guidelines follow the link to the RCOG leaflet.


All pregnant women should seek advice from their midwives and consultants.

Always report and discuss any medical worries you might have and be sure you are content with the care you receive. 

If you do have any concerns about the care, support or advice delivered you can seek a second opinion as to

whether your care package is suitable for you.


Check your notes are always up to date. If in doubt, ask.


Although we have made every effort to ensure that the external sites that we link to are both accurate and reputable we ultimately cannot accept responsibilty for the content therein.