Published on: 4/28/2025
Water can break without contractions when the membranes weaken or rupture on their own, even if your uterus hasn’t started regular contractions yet.
Sometimes, your water can break without you feeling those strong cramps or contractions that we usually think of with labor. This is called prelabor rupture of membranes (PROM). The amniotic sac, which is like a protective water balloon around your baby, can sometimes get a little weak or stretched out and break on its own without any forceful contractions. This might happen simply because the body has reached a certain stage in pregnancy where the membranes naturally thin out, or it could be related to other factors like a mild infection that weakens the membranes. In other cases, the baby’s movements or even changes in environment can play a role. Although water breaking often signals that labor is near, it isn’t always followed by strong, immediate contractions; sometimes labor starts later. If you notice any fluid leaking or feel like your water is breaking even without contractions, it is important to reach out to your healthcare provider. They can check you and make sure everything is okay for you and your baby, and guide you on what to do next.
(References)
Dayal S, Jenkins SM, Hong PL. Preterm and Term Prelabor Rupture of Membranes (PPROM and PROM). 2024 Oct 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 30422483.
Melamed N, Berghella V, Ananth CV, Lipworth H, Yoon EW, Barrett J. Optimal timing of labor induction after prelabor rupture of membranes at term: a secondary analysis of the TERMPROM study. Am J Obstet Gynecol. 2023 Mar;228(3):326.e1-326.e13. doi: 10.1016/j.ajog.2022.09.018. Epub 2022 Sep 15. PMID: 36116523.
Middleton P, Shepherd E, Flenady V, McBain RD, Crowther CA. Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). Cochrane Database Syst Rev. 2017 Jan 4;1(1):CD005302. doi: 10.1002/14651858.CD005302.pub3. PMID: 28050900; PMCID: PMC6464808.
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