Have vaginal bleeding during the second and third trimesters. Some women are at higher risk of PPROM than others, though. It often happens without any risk factors or obvious cause. 
PROM is usually caused by uterine contractions weakening the membranes. If you have PPROM, you're also at higher risk of your baby being in breech or another abnormal birthing position. The highest risks of PPROM come from having your baby prematurely.
Compression of the umbilical cord, if it's not surrounded by enough amniotic fluid. PROM or PPROM can usually be managed without causing serious problems for you or your baby, but possible complications include: If you have PROM or PPROM, you'll need to stay in the hospital until your baby is born. If labor doesn't start within 6 to 12 hours, the risk of infection increases. Usually, when your amniotic sack ruptures (your water breaks), it's a sign that labor will soon begin. It increases during pregnancy until about 36 weeks, when it's about a quart of liquid. The amniotic fluid protects and cushions your baby in the womb. PPROM, which is more serious because it can lead to premature labor and birth, happens in only about 3 percent of pregnancies. It means that your water breaks before 37 weeks of pregnancy. PPROM stands for preterm premature rupture of membranes, or preterm prelabor rupture of membranes. 
PROM happens in between 8 and 15 percent of pregnancies. It means that your water breaks after 37 weeks of pregnancy (when you're considered full-term). PROM stands for premature rupture of membranes, also called prelabor rupture of membranes. If that happens, you have one of these conditions: Yes, it's possible that during pregnancy your amniotic sac could break and leak amniotic fluid before you're in labor.
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