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Premature rupture of membranes

09/11/1996

Question:

During my first pregnancy I had premature rupture of membranes at 33 weeks and delivered my son prematurely. No cause was found but I had had frequent Braxton- Hicks throughout my prenancy. What are the chances that I'll have the same thing happen my next pregnancy?

Answer:

Despite the great advancements in taking care of the premature baby, we have not been able to decrease the incidence of premature labor and delivery. It is an area of obstetrics that years of extensive research have not been able to perfect prevention or treatment. The cause for your preterm labor and delivery was your premature rupture of membranes. This too is a complication of pregnancy with too few answers. Although many cases are a result of an infection of the membranes or stretching caused by labor (not Braxton-Hicks contractions), most cases are like yours in that no definitive cause is found. Although you may be at higher risk of this developing problem again (depending on your particular circumstances) there is little that can be done to prevent it. Your only course of action is good prenatal care from your obstetrician.

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Response by:

University of Cincinnati Thomas A deHoop, MD
Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
Department of Obstetrics & Gynecology
College of Medicine
University of Cincinnati
Thomas  A deHoop, MD