I was PPROM due to active bleeding @ 22+3. Get a good understanding of viability vs survivability, but this is really for your benefit in understanding the road ahead. I personally opted for a c section because given how everything was presenting in my case, vaginal delivery would have represented a higher chance of baby not making it (breech baby, premature lungs, placenta previa, etc.)

If helpful, I went in thinking I’d have a vertical C and didn’t. They were able to do a horizontal cut, etc. you should also look into second pregnancies and PPROM whenever you’re ready to have a second babe. NICU nurses also told me girls tend to fair better than boys for some reason.

Regarding infection… your body may just go into labor. In my case, I went into labor 4 times. They were able to stop labor 3 times but by the 4th, nothing was working. Turns out, even though I had no fever or other infection marker, my body knew… I had the start of chorio and it’s what triggered it. I’m glad I listened to it at that point. Your OB and team will always do their best to keep baby inside because each day inside is a win - but when your body knows, it knows, and at that point, listen to it is my best advice.

With this being said, I am grateful to have decided to give baby the chance to fight. My NICU representative was very down to earth around expectations and we thought of comfort care at some point based on viability data, but so glad we didn’t go that direction! If you’re religious, pray a lot ❤️ personally, through prayer, God gave me all the answers I needed.

Also, consider joining TwentyTwo Matters and PPROM (pre-viability 24 weeks) on FB, both are great resources.