PROM: Are You High Risk During Your Next Pregnancy?

Would premature rupture of membranes (PROM) in a previous birth preclude a homebirth? Would I be considered high-risk?

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

A history of premature rupture of the membranes with a prior birth does not contraindicate a home birth per se. Most of the time, we don't know why the membranes rupture but it could be due to infections such as bacterial vaginosis, chlamydia or gonorrhea. All mothers should be screened for these during the pregnancy.

The fact that you ruptured early last time has no bearing on this pregnancy unless you have an infection which was not treated.

If you have a competent midwife or doctor who is experienced in home birth, they have protocols about when a woman should be transferred to the hospital. There are many other ways of initiating labor besides induction with oxytocin and they would undoubtedly try these other regimens first.

Good luck with your birth plans.

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