The PPROM Page
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Step 1 of 3: Share Your PROM Story

Please share your PROM Story after delivery. Your story can help others in the future.
If you had more than one PROM Pregnancy you want to share, please submit a separate story for each pregnancy. We can link the stories together afterwards.

First name:
Last name:
OK to publish last name?
E-mail address:
OK to publish email address?
City, State:
Was this a pregnancy subsequent
to an earlier PROM Pregnancy?
Yes No
Prom week + day: weeks + day(s)
Delivery week + day: weeks + day(s)
Were you advised to induce labor
(terminate pg)
after PROM?
Did your baby/ies survive? Yes No
Multiple with different outcome
Was it a singleton or multiple pregnancy? Singleton Multiple

PROM Story: