When will my water break
Labor Sign, What It Feels Like & What's Next
Overview
What is water breaking?
A fetus grows inside a “bag of waters” called the amniotic sac during pregnancy. The amniotic sac is inside your uterus. It’s filled with a water-like fluid (called amniotic fluid) that protects the fetus. When the amniotic sac tears, amniotic fluid comes out of your vagina. This is your “water breaking,” and it’s a sign that delivery is right around the corner. Your water can break at any time — before labor begins, after contractions have started or right before delivery. Your healthcare provider may even break your water for you (amniotomy). The amount of water that comes out can look like a bucket of water spilling. Or it can be a slow trickle that goes unnoticed.
Another name for water breaking is rupturing of the membranes.
What does it mean when your water breaks?
Your water breaking means contractions will start soon (if they haven’t already) and that delivery is coming. Call your healthcare provider if you think your water broke so they can determine what to do next. Amniotic fluid is a protective barrier, and without it, the fetus is at risk for infection and other medical conditions.
How do you know if your water breaks?
Your water may have broken if you experience:
- A popping feeling followed by a gush or trickle of fluid from your vagina.
- Fluid in your underwear or down your leg in either small or large amounts.
- Wetness that’s odorless and clear or pale yellow.
- Uncontrollable leaking from the vagina that you can’t “hold in.”
- Leaking fluid that’s thin and watery instead of thick and sticky.
- Leaking fluid followed by contractions that are stronger than before.
If you’re unsure if your water broke, it’s helpful to put on a clean pair of underwear or a sanitary pad. Don’t put a tampon inside your vagina. Lie down and try to relax for 15 to 30 minutes. When you stand up, see if fluid comes out. If the fluid is your water breaking, it should come out when you stand. Note the color, the amount and the smell. This can also help you decide if it’s amniotic fluid, pee or vaginal discharge.
Only your healthcare provider can confirm if your water has broken with a vaginal exam, nitrazine paper or litmus paper. Litmus and nitrazine paper change color on contact with amniotic fluid.
Possible Causes
What triggers your water breaking?
No one is entirely sure what happens in a person’s body to cause the amniotic sac to break. Some experts think it’s caused by signals in the fetus’s brain or from hormones that weaken the amniotic sac.
What are the signs that your water is going to break?
There are no signs that your water is going to break; however, most people will be in labor and have contractions before their water breaks. So, if you’re in labor and experiencing contractions, your water can break at any moment.
What does it feel like when your water breaks?
It feels a little different for everyone. The fetus’s head acts as a cork to plug the cervix. Some people feel a popping sensation followed by a gush of fluid, while others feel nothing. Amniotic fluid can trickle into your underwear like a raindrop or rush down your legs like a waterfall. As contractions progress and as the fetus moves, more fluid can leak. It doesn’t hurt when your water breaks, so you shouldn’t feel any pain.
Can your water break early?
Yes, your water can break before you’re full-term or 37 weeks pregnant. This is called premature (or prelabor) rupture of the membranes (PROM). It happens in about 8% to 10% of pregnancies. You’re at an increased risk of PROM if you:
- Smoke.
- Have vaginal bleeding in the second or third trimesters.
- Have inflammation or an infection.
- Have had previous PROM.
- Have a short cervix.
There are several courses of treatment your healthcare provider may take if your water breaks early.
If you’re at least 34 weeks pregnant, delivery might be the safest choice. If you’re less than 34 weeks pregnant, your healthcare provider may delay delivery by:
- Using antibiotics to prevent infection.
- Using steroids to mature the fetus’s lungs.
- Using magnesium sulfate for the fetus’s brain.
If you’re less than 24 weeks pregnant, there’s a chance your baby will need to be delivered preterm. Your healthcare provider will discuss the risks and benefits with you and help you decide what’s best for your baby.
Care and Treatment
How long after your water breaks do you have to deliver?
The exact timing will vary depending on how far you are in pregnancy and if you have any health conditions. In most cases, your pregnancy care provider will want to deliver your baby within 24 to 48 hours. If your baby is preterm (less than 37 weeks of pregnancy), your healthcare provider may be able to use medication to delay delivery. This usually requires careful monitoring in the hospital.
How long after your water breaks do you go into labor?
For most people (up to about 90%), labor starts before their water breaks. If you’re having contractions, you’re already in labor. These contractions usually intensify once your water has broken. If you have no other labor symptoms, contractions will typically start within 24 hours of your water breaking.
When to Call the Doctor
How do you tell if your water broke or you peed?
It can be hard to tell the difference between leaking pee or amniotic fluid, especially if you’re in the middle of contractions. There are a few factors that may help you tell the difference:
- Pee is usually dark yellow and has a distinct odor. Amniotic fluid is mostly clear or light yellow (although it can be tinged brown or red) and odorless.
- You can’t stop amniotic fluid. If your water breaks, you won’t be able to “hold it” like you can with pee.
- Amniotic fluid continues to leak (sometimes with a contraction) where urine doesn’t. In most cases, your bladder empties and doesn’t fill up again that quickly.
- There’s usually more amniotic fluid than pee. At 36 weeks of pregnancy, you can have up to 4 cups of amniotic fluid (it goes down as your baby’s due date gets closer). The human bladder can only hold 2 cups of pee.
When do I call my doctor if my water broke?
You should contact your healthcare provider right away if you believe your water has broken, especially if accompanied by fever, foul-smelling odors, blood or a change in the fetus’s movements. If you’re not sure if your water broke, they can help you.
Once you contact your provider, they may ask questions like:
- How much fluid came out?
- What color was it?
- Did it have a smell?
- Did it have a texture?
- How long has it been since it happened?
- Are you having contractions?
- Did you test positive for group B strep (group B streptococcus)?
- How many weeks are you?
Remain calm and try not to panic. In most cases, your healthcare provider will want to deliver your baby within 48 hours of your water breaking, although the timing can vary depending on your medical history and how many weeks you are in pregnancy.
Frequently Asked Questions
Can your water break without you knowing?
Yes, your water may break without you knowing. You might be unsure whether the drips or trickles are amniotic fluid, pee or vaginal discharge. Inspecting your underwear or pad for smells or color can help you determine what it is. Despite what you see in movies, your water breaking might not be dramatic. Contact your healthcare provider if you’re uncertain if your water is breaking.
How much water comes out when your water breaks?
It depends. Some people lose a little bit at a time, while others will experience several large gushes. Your amniotic sac holds up to 4 cups of amniotic fluid at 36 weeks. As your baby’s due date approaches, the volume of amniotic fluid goes down. At 40 weeks of pregnancy, there are about 2.5 cups of amniotic fluid in the amniotic sac.
Does your water always break?
Yes, for a vaginal delivery your water must break. However, it doesn’t need to break before cesarean delivery. In rare cases, your baby can be born while still inside the amniotic sac.
Will a doctor break my water?
Your healthcare provider may break your water. This is an amniotomy. It involves inserting a thin tool through the vagina to break the amniotic sac. It’s performed when labor has stalled or to speed up labor.
A note from Cleveland Clinic
Your water breaking is a sign that delivery is right around the corner. It can break before labor starts or once contractions have already begun. Knowing whether your water has broken can be confusing. Some people feel a strong and sudden gush of fluid from their vagina, while others feel a trickle. If your water breaks too soon, it could lead to premature birth. In full-term pregnancies, it may mean it’s time to go to the hospital. Call your healthcare provider if you believe your water has broken so they can help you figure out your next steps.
Labor Sign, What It Feels Like & What's Next
Overview
What is water breaking?
A fetus grows inside a “bag of waters” called the amniotic sac during pregnancy. The amniotic sac is inside your uterus. It’s filled with a water-like fluid (called amniotic fluid) that protects the fetus. When the amniotic sac tears, amniotic fluid comes out of your vagina. This is your “water breaking,” and it’s a sign that delivery is right around the corner. Your water can break at any time — before labor begins, after contractions have started or right before delivery. Your healthcare provider may even break your water for you (amniotomy). The amount of water that comes out can look like a bucket of water spilling. Or it can be a slow trickle that goes unnoticed.
Another name for water breaking is rupturing of the membranes.
What does it mean when your water breaks?
Your water breaking means contractions will start soon (if they haven’t already) and that delivery is coming. Call your healthcare provider if you think your water broke so they can determine what to do next. Amniotic fluid is a protective barrier, and without it, the fetus is at risk for infection and other medical conditions.
How do you know if your water breaks?
Your water may have broken if you experience:
- A popping feeling followed by a gush or trickle of fluid from your vagina.
- Fluid in your underwear or down your leg in either small or large amounts.
- Wetness that’s odorless and clear or pale yellow.
- Uncontrollable leaking from the vagina that you can’t “hold in.”
- Leaking fluid that’s thin and watery instead of thick and sticky.
- Leaking fluid followed by contractions that are stronger than before.
If you’re unsure if your water broke, it’s helpful to put on a clean pair of underwear or a sanitary pad. Don’t put a tampon inside your vagina. Lie down and try to relax for 15 to 30 minutes. When you stand up, see if fluid comes out. If the fluid is your water breaking, it should come out when you stand. Note the color, the amount and the smell. This can also help you decide if it’s amniotic fluid, pee or vaginal discharge.
Only your healthcare provider can confirm if your water has broken with a vaginal exam, nitrazine paper or litmus paper. Litmus and nitrazine paper change color on contact with amniotic fluid.
Possible Causes
What triggers your water breaking?
No one is entirely sure what happens in a person’s body to cause the amniotic sac to break. Some experts think it’s caused by signals in the fetus’s brain or from hormones that weaken the amniotic sac.
What are the signs that your water is going to break?
There are no signs that your water is going to break; however, most people will be in labor and have contractions before their water breaks. So, if you’re in labor and experiencing contractions, your water can break at any moment.
What does it feel like when your water breaks?
It feels a little different for everyone. The fetus’s head acts as a cork to plug the cervix. Some people feel a popping sensation followed by a gush of fluid, while others feel nothing. Amniotic fluid can trickle into your underwear like a raindrop or rush down your legs like a waterfall. As contractions progress and as the fetus moves, more fluid can leak. It doesn’t hurt when your water breaks, so you shouldn’t feel any pain.
Can your water break early?
Yes, your water can break before you’re full-term or 37 weeks pregnant. This is called premature (or prelabor) rupture of the membranes (PROM). It happens in about 8% to 10% of pregnancies. You’re at an increased risk of PROM if you:
- Smoke.
- Have vaginal bleeding in the second or third trimesters.
- Have inflammation or an infection.
- Have had previous PROM.
- Have a short cervix.
There are several courses of treatment your healthcare provider may take if your water breaks early.
If you’re at least 34 weeks pregnant, delivery might be the safest choice. If you’re less than 34 weeks pregnant, your healthcare provider may delay delivery by:
- Using antibiotics to prevent infection.
- Using steroids to mature the fetus’s lungs.
- Using magnesium sulfate for the fetus’s brain.
If you’re less than 24 weeks pregnant, there’s a chance your baby will need to be delivered preterm. Your healthcare provider will discuss the risks and benefits with you and help you decide what’s best for your baby.
Care and Treatment
How long after your water breaks do you have to deliver?
The exact timing will vary depending on how far you are in pregnancy and if you have any health conditions. In most cases, your pregnancy care provider will want to deliver your baby within 24 to 48 hours. If your baby is preterm (less than 37 weeks of pregnancy), your healthcare provider may be able to use medication to delay delivery. This usually requires careful monitoring in the hospital.
How long after your water breaks do you go into labor?
For most people (up to about 90%), labor starts before their water breaks. If you’re having contractions, you’re already in labor. These contractions usually intensify once your water has broken. If you have no other labor symptoms, contractions will typically start within 24 hours of your water breaking.
When to Call the Doctor
How do you tell if your water broke or you peed?
It can be hard to tell the difference between leaking pee or amniotic fluid, especially if you’re in the middle of contractions. There are a few factors that may help you tell the difference:
- Pee is usually dark yellow and has a distinct odor. Amniotic fluid is mostly clear or light yellow (although it can be tinged brown or red) and odorless.
- You can’t stop amniotic fluid. If your water breaks, you won’t be able to “hold it” like you can with pee.
- Amniotic fluid continues to leak (sometimes with a contraction) where urine doesn’t. In most cases, your bladder empties and doesn’t fill up again that quickly.
- There’s usually more amniotic fluid than pee. At 36 weeks of pregnancy, you can have up to 4 cups of amniotic fluid (it goes down as your baby’s due date gets closer). The human bladder can only hold 2 cups of pee.
When do I call my doctor if my water broke?
You should contact your healthcare provider right away if you believe your water has broken, especially if accompanied by fever, foul-smelling odors, blood or a change in the fetus’s movements. If you’re not sure if your water broke, they can help you.
Once you contact your provider, they may ask questions like:
- How much fluid came out?
- What color was it?
- Did it have a smell?
- Did it have a texture?
- How long has it been since it happened?
- Are you having contractions?
- Did you test positive for group B strep (group B streptococcus)?
- How many weeks are you?
Remain calm and try not to panic. In most cases, your healthcare provider will want to deliver your baby within 48 hours of your water breaking, although the timing can vary depending on your medical history and how many weeks you are in pregnancy.
Frequently Asked Questions
Can your water break without you knowing?
Yes, your water may break without you knowing. You might be unsure whether the drips or trickles are amniotic fluid, pee or vaginal discharge. Inspecting your underwear or pad for smells or color can help you determine what it is. Despite what you see in movies, your water breaking might not be dramatic. Contact your healthcare provider if you’re uncertain if your water is breaking.
How much water comes out when your water breaks?
It depends. Some people lose a little bit at a time, while others will experience several large gushes. Your amniotic sac holds up to 4 cups of amniotic fluid at 36 weeks. As your baby’s due date approaches, the volume of amniotic fluid goes down. At 40 weeks of pregnancy, there are about 2.5 cups of amniotic fluid in the amniotic sac.
Does your water always break?
Yes, for a vaginal delivery your water must break. However, it doesn’t need to break before cesarean delivery. In rare cases, your baby can be born while still inside the amniotic sac.
Will a doctor break my water?
Your healthcare provider may break your water. This is an amniotomy. It involves inserting a thin tool through the vagina to break the amniotic sac. It’s performed when labor has stalled or to speed up labor.
A note from Cleveland Clinic
Your water breaking is a sign that delivery is right around the corner. It can break before labor starts or once contractions have already begun. Knowing whether your water has broken can be confusing. Some people feel a strong and sudden gush of fluid from their vagina, while others feel a trickle. If your water breaks too soon, it could lead to premature birth. In full-term pregnancies, it may mean it’s time to go to the hospital. Call your healthcare provider if you believe your water has broken so they can help you figure out your next steps.
Amniotic fluid - from A to Z
Everything in the body of a pregnant woman is arranged in order to safely bear and give birth to a child. For example, amniotic fluid is an amazing environment in which the baby lives all nine months of pregnancy and which helps him to be born softly and comfortably.
Water cycle
Where does amniotic fluid come from? Let's start with the fact that a child swims in the uterus for a reason: around him, like around an astronaut, there is a kind of spacesuit - special membranes, they are called: fetal membranes. Together with the placenta, they form a fetal bladder, which is filled with amniotic fluid. At the very beginning of pregnancy, it is the cells of the fetal bladder that produce amniotic fluid. In the later stages, amniotic fluid is additionally produced by the baby's kidneys. The baby first swallows water, they are absorbed in the gastrointestinal tract, and then they leave the body with urine back into the fetal bladder. Approximately every three hours, the fluid in the sac is completely renewed. That is, "waste" waters come out, and new ones take their place - completely renewed. And this water cycle continues for 40 weeks.
Why water is needed
It would seem that man is a land creature, and he cannot breathe for a long time, and simply cannot be under water. So why is the baby in the water during pregnancy? It's very simple: for the development of a child at any stage of life, a harmonious environment is needed. And water is great for this. It softens the effect of the law of universal gravitation, too loud noises of our world do not reach through the water. And the amniotic fluid is always the same temperature, which means that the child will not overheat or become cold, even if the mother suffers from heat or, conversely, freezes from the cold. Together with the walls of the uterus and the muscles of the anterior abdominal wall, water reliably protects the child from bumps, pushes or excessive pressure, which are always present in our everyday life. Naturally, this does not mean that during pregnancy you can fall off a bicycle or go skiing, no, it is still dangerous. But there is no need to be afraid that, once again bending or turning the body, the woman will pinch something there and pass it on to the child.
But what about breathing, the baby will not choke in the water? Certainly. the child in the mother's stomach breathes, but not yet with lungs - oxygen is supplied to it through the placenta. And only after birth and the first cry, the lungs will straighten out and the baby will take their first real breath with them. In the meantime, he just periodically swallows amniotic fluid, but it cannot get into the lungs.
By the way, even in childbirth you can’t do without water - during contractions, the baby’s head presses on the cervix and helps it open up. But the waters located in the fetal bladder in front of the baby's head soften this pressure and the cervix opens more smoothly.
So everything is thought out in the body of a pregnant woman, and water is perfect for the life of a future baby.
Quantity and quality
With each ultrasound of the baby , the doctor also evaluates the amniotic fluid: their quantity, transparency, the presence of extraneous suspension.
Quantity. If there is less or more water than it should be within a certain period, then perhaps something is wrong in the woman's body. But fortunately, this is rare, but the conclusion "moderate oligohydramnios" after an ultrasound examination occurs all the time. The expectant mother always worries about this diagnosis, but it usually means that the amount of amniotic fluid has decreased slightly. If additional examinations (CTG, dopplerography) show that everything is in order with the baby, then there is nothing wrong with moderate oligohydramnios, perhaps this is such a feature of the course of pregnancy.
Quality. Normally, amniotic fluid is clear, like water. By the end of pregnancy, they sometimes become a little cloudy due to the fact that epidermal cells from the baby’s skin, particles of the original lubricant get into them - they give a small suspension in the waters, which can be seen on ultrasound. This is also a variation of the norm.
Final stage
All expectant mothers have heard about the fact that at some point in childbirth or right in front of them, amniotic fluid is poured out. And naturally, pregnant women have the same questions: how and when does this happen? what will i feel? what to do after the water breaks? Everything is simple here.
When the waters break. Ideally, the waters flow out during the first stage of labor, when the cervix is fully or almost fully dilated. The fetal bladder becomes thinner and breaks during contraction. Immediately after this, the contractions intensify significantly, and the birth of a child is just around the corner. But the waters can break even before the start of contractions, so to speak, "out of the blue." This moment is called premature outpouring of waters. If there are contractions, but the cervix is not yet ready, then such an outpouring of water is called early .
How the waters break. Amniotic fluid is poured out in different ways. They can, like in feature films - suddenly, in a public place, the expectant mother starts to have water flowing down her legs. Yes, this happens, but still, the drama of the situation in the cinema is somewhat exaggerated. Amniotic fluid does not always flow in a strong stream, very often not all waters come out, but only the so-called front , that is, those that are located in front of the baby's head, and they are usually 100-200 ml. The rest of the amniotic fluid - rear water - is poured out after the birth of the child.
So usually the expectant mother feels that her underwear has suddenly become very wet. or she thinks she has had involuntary urination. But there may be such an option: the fetal bladder did not burst completely, but only torn somewhere and the water leaves in small portions. Then the woman will only feel that the discharge has become more abundant and watery than before. This is called amniotic fluid leakage.
What to do after the water breaks. It does not matter whether there are contractions or not, a lot of water has broken or just a little bit - all this is a reason for to immediately go to the maternity hospital . There is nothing to be afraid of here: today it is believed that the safe waterless period is no longer 6 hours as before, but much longer. But, nevertheless, if the waters have poured out, the mother needs to be under the constant supervision of doctors.
Pregnancy fears
Expectant mothers are often worried, and various horror stories from the Internet and stories of good friends only increase anxiety. What usually worries a woman when it comes to amniotic fluid?
The fetal bladder will burst (tear) ahead of time, but I will not notice it. Usually this fear appears at the end of pregnancy, when the amount of vaginal discharge increases under the influence of hormones. Often there are so many of them and they are so plentiful that it seems to a woman that her water is leaking. In fact, water and discharge can be distinguished: the discharge is mucous, denser or thicker, leaving a characteristic white color or a dried spot on the linen. The amniotic fluid is still water, it is not viscous, does not stretch like discharge, and dries on the linen without a characteristic trace. But if doubts remain, is it water or just liquid vaginal discharge, you should not sit at home and be afraid. It is better to go to the doctor for a consultation - he will certainly see what it is. If the situation repeats, then you can buy a special test at the pharmacy that shows whether there is water leakage or not (it can be in the form of a regular strip, similar to a pregnancy test, or even in the form of a special pad).
In childbirth, all women have their fetal bladder pierced, and what if they do it to me?
The opening of the fetal bladder is very actively discussed and condemned on the Internet, and this is understandable: many women do not understand why they did it. Yes, this manipulation is indeed carried out often, but rumors that the fetal bladder is opened in maternity hospitals for everyone in a row are somewhat exaggerated. So why are they opening it anyway? Ideally, just to help mother and child.
- For example, if the contractions are weakened, then opening the amniotic sac can intensify them and then there is no need to prescribe stimulation with the help of oxytocin.
- Sometimes the fetal bladder does not have anterior waters, such a bladder is called flat. As a result, its membranes are stretched over the child's head, and the bubble not only does not help normal labor, but also delays it.
- Rarely, but it happens that the fetal membranes are so dense that even when the cervix is fully opened, the bubble itself does not open. If it is not opened, then the straining period is delayed, since such a fetal bladder interferes with the advancement of the baby's head. Previously, if the bladder was not opened, the child could be born in fetal membranes in a state of asphyxia. They said about such children: "Born in a shirt, he will be happy!" And happiness here is in one thing - they managed to get him out of this "shirt" alive.
After birth, the child no longer needs the aquatic environment. Now he has a different type of breathing, circulation, digestion. And a new, amazing and interesting life on land begins.
Memo for moms
- Water can break both during contractions and without them ("out of the blue").
- Amniotic fluid pours out in different ways: it can gush like a fountain, or it can leak imperceptibly.
- It doesn’t matter if there are contractions or not, a lot of water has broken or just a little bit, you need to go to the hospital in any case.
- If you are afraid that water is leaking, go to the doctor, he will see exactly what it is. You can buy a special test for water leakage.
- Are you offered to open the fetal bladder? Do not worry - this is a completely painless manipulation.
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How to understand that water is breaking during pregnancy?
One of the key criteria for the onset of labor is the discharge of water. However, other selections are often mistaken for them. He understands how to understand that the waters have really broken and does labor activity always begin with their departure?
What amniotic fluid is for
Amniotic fluid or amniotic fluid begins to form along with the fetal sac. They consist of water and substances dissolved in it - proteins, immunoglobulins, organic and mineral substances. Normally they are transparent. As the fetus grows, so does the amount of fluid around it.
Their maximum number falls on a period of 36 weeks and ranges from 1 to 1.5 liters. Then their number decreases. By childbirth, their weight is about 0.9kg. The amniotic fluid performs important functions. The main ones are:
- protection of the fetus from infections;
- maintaining the constancy of the internal environment;
- protection from external influences;
- participation in the metabolism of the fetus;
- formation of the internal environment for the fetus.
Normally, the fetal bladder is airtight, and the amniotic fluid leaves only during childbirth. However, in some cases, the tightness of the bladder is broken, due to which the amniotic fluid may begin to leak. The reason for this may be infections, injuries, features of the anatomical structure of the cervix, etc. Leakage of water can cause the development of intrauterine infection, hypoxia.
The amount of amniotic fluid affects the development of the baby. Their insufficient amount (oligohydramnios) leads to fetal developmental delays and premature birth, excess (polyhydramnios) leads to hypoxia, infections and other problems. This parameter is evaluated on planned ultrasound scans, and then confirmed by other studies.
When can amniotic fluid drain
Most often, amniotic fluid leaves before or during childbirth, but this process can occur at other stages of pregnancy. On this basis, the discharge of water is divided into several types:
The time of the outpouring of waters | Description |
timely | Occurs during labor at gestational age and ends with normal labor |
premature | Occurs before 38 weeks and is considered pathological. If the water does not leave abruptly, this process is called leakage. |
In the birth period, the outflow of amniotic fluid may occur before the full dilatation of the cervix (earlier) or after it (late). The fetal bladder itself can burst in different places, due to which the intensity of discharge can be different. In some women they ooze, in others they literally pour out.
Important! Occasionally, if the membranes are hard and rupture above the os, the amniotic fluid leaks out but does not drain completely. In this case, special tests will help determine the leakage.
How to understand that the waters have broken
The outpouring of water indicates either the onset of labor, or pathological processes, due to which the integrity of the fetal bladder has been violated. You can understand that the amniotic fluid has begun to drain or leak by the following symptoms:
- a clear liquid is found on the linen;
- its amount increases with a change in body position;
- the liquid is colorless and odorless;
- its quantity does not decrease.
Sometimes the discharge of amniotic fluid is accompanied by popping and cramping pains, the intensity of which increases with time. In the case of timely delivery, before the outflow of water, a cork may leave - a special mucous formation that protects the cervix.
However, in the event of a rupture of the fetal bladder above the cervix of the uterus or overlapping of the place of rupture with the head of the child, even before childbirth, the amniotic fluid can leave in small portions and unnoticed by the pregnant woman herself. Childbirth can begin even before the discharge of the amniotic fluid with constant contractions, the intensity of which increases with time.
Amniotic fluid may break before the onset of labor or due to breach of bladder integrity. If the discharge is not complete, it can be difficult for a woman to understand whether her amniotic fluid has passed. Our doctors at a remote consultation on indirect signs will help determine the causes of discharge and tell you when to go to the hospital.
What problems can arise after the water breaks
If the outflow of water occurs at the gestational age, at which the pregnancy is considered full-term, then this usually does not lead to problems and ends in childbirth. In some cases, if labor does not begin after a few hours, it is stimulated. The decision about this is made by the doctor based on the general picture and the condition of the woman in labor.
Difficulties arise if leakage begins before the 38th week of pregnancy and is accompanied by cramping pain or bloody discharge. Such leakage can lead to the following consequences:
- fetal hypoxia;
- development of intrauterine infection;
- premature birth.
The maximum waterless period is 60 hours. If a leak of amniotic fluid is suspected, a woman is not recommended to take a bath to avoid the risk of intrauterine infection. In this situation, it is also recommended to seek medical help at the maternity hospital on duty.
Please note that the anhydrous period is considered if there has been a complete outflow of amniotic fluid. If it seeps but does not flow, renewal and production may occur faster than the expiration. In this case, the child is not in danger if the mother does not take a bath and takes other hygiene measures.
Important! Water leakage does not always lead to preterm labor. Modern methods help to maintain pregnancy even with the complete discharge of amniotic fluid for 86 days.
What to do when the water breaks during pregnancy
Regardless of how long the waters have broken and to what extent they are leaving (flowing or just leaking), a woman needs to go to the maternity hospital, where they will test for leakage and prescribe treatment or stimulate labor. With leakage up to 35 weeks, you can contact the doctor leading the pregnancy.
He will test for water leakage, send you for ultrasound and dopplerography, and also decide how to continue the pregnancy. In some cases, a woman is placed in a hospital under constant medical supervision and they try to postpone the moment of childbirth.
When leaking amniotic fluid, you should not self-medicate and wait for it to stop by itself. Timely medical assistance will help to avoid complications and bring the pregnancy to term.
If the water leaves in a small volume, with the right treatment tactics and compliance with all safety measures, pregnancy can be maintained for three months. This is due to the fact that the amniotic fluid is constantly updated and produced by the mother's body.
In addition, they try to identify and eliminate the cause that led to leakage. So with polyhydramnios, which leads to stretching and rupture of the fetal bladder, they try to reduce the amount of amniotic fluid. In case of infection, its focus is localized. For cervical insufficiency, the cervix is sutured or a pessary is placed.
Self-treatment of water leakage is dangerous for the baby's life and can cause premature birth, so you should not self-medicate. At the first signs of a violation of the fetal bladder, you should seek medical help as soon as possible in order to recognize the causes of leakage and choose the appropriate treatment.
FAQ
What to do if the water breaks?
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The departure of water usually signals the onset of labor or a violation of the integrity of the fetal bladder. In both cases, you need to seek medical help at the nearest maternity hospital to find out the cause of this condition.
How long does the water take?
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How soon the waters drain completely depends on where the fetal bladder burst. If the rupture occurred in its front part, then the outflow of amniotic fluid occurs quickly. If the bubble bursts above the cervix of the uterus, and the gap covers the head of the child, then the water can ooze for a long time.
What if the water broke without contractions?
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If ilisitis of the amniotic fluid occurred without contractions and the gestational age corresponds to a full-term pregnancy, you should contact the nearest maternity hospital. The doctor will evaluate the opening of the cervix and the state of labor, and then decide on its stimulation.
What does it feel like when the water breaks?
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If the waters leave rapidly, then they are felt as warm water, which flows abundantly over the legs. If the water leaves a little, it looks like a watery discharge, in which it is difficult to recognize the amniotic fluid. In this case, a special test may be required that detects amniotic fluid.
Why does the water break before the due date?
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Leakage of water may indicate the onset of preterm labor, develop as a result of trauma, cervical insufficiency and infectious diseases of a pregnant woman. In this case, it is necessary to start treatment in order to maintain the pregnancy.
Expert opinion
The discharge of water can be caused by the onset of labor or perforation of the amniotic sac due to trauma, infection, or the woman's anatomy.