Because bacteriuria and pyelonephritis are associated with preterm delivery, urine should be obtained for microscopic analysis and culture. 36 If the patient has not already been screened, a rectovaginal culture should be obtained for determination of GBS-carrier status, and prophylaxis should be initiated, if necessary. Screening for gonorrhea and chlamydia should be considered if not performed previously. Symptomatic patients should be evaluated for BV and trichomoniasis, although treatment of these infections will not affect pregnancy duration. 25
I will start of by giving you the facts. PPROM is a condition that happens before 37 weeks of pregnancy. The amniotic sac breaks and amniotic fluid gushes out or in some cases like my case it leaks out without any prior warning and without any signs of labour. This is commonly known at full term as your waters breaking.
The condition known as PROM (Premature Rupture of the Membranes) is the same as PPROM but after 37 weeks of pregnancy.
The onset of either PPROM or PROM can happen at any time during the pregnancy and the cause is often unknown. PPROM is diagnosed by a doctor doing an internal examination to look for amniotic fluid leaking from the cervix.