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Published on: 4/28/2025

What Are the Potential Complications of a Prolonged Rupture of Membranes?

If your water has been broken for a long time, it can increase the risk of infections in both mom and baby, as well as causing other complications.

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Explanation

When the amniotic sac is ruptured for a long time, it is called a prolonged rupture of membranes. This can give germs more time to get into the uterus, making it easier for infections to occur. One common infection is chorioamnionitis, which is an infection of the membranes and the fluid around the baby. This infection can also spread and cause problems after delivery, like uterine infections known as postpartum endometritis. For the baby, prolonged rupture of membranes increases the risk of infections or even a condition called neonatal sepsis, which is a serious blood infection. There might also be issues with the baby if there is not enough amniotic fluid, which helps protect and cushion the baby. Because of these risks, healthcare providers usually want to deliver the baby within a safe time period after the water breaks. If you suspect your water has been broken for a while, it is very important to contact your provider so they can check for any signs of complications and take the right steps to keep you and your baby healthy.

(References)

  • Dayal S, Jenkins SM, Hong PL. Preterm and Term Prelabor Rupture of Membranes (PPROM and PROM) [Updated 2024 Oct 31]. In: StatPearls [Internet].

  • Iams JD, Stilson R, Johnson FF, Williams RA, Rice R. Symptoms that precede preterm labor and preterm premature rupture of the membranes. Am J Obstet Gynecol. 1990 Feb;162(2):486-90. doi: 10.1016/0002-9378(90)90417-6. PMID: 2137968.

  • Novak-Antolic Z, Pajntar M, Verdenik I. Rupture of the membranes and postpartum infection. Eur J Obstet Gynecol Reprod Biol. 1997 Feb;71(2):141-6. doi: 10.1016/s0301-2115(96)02624-3. PMID: 9138956.

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