Did my water break or is it urine?

McKenzie Annabelle Kaiser
McKenzie Annabelle Kaiser
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I’m talking about your bag of waters breaking, how to know it is amniotic fluid not pee, and what to do if this happens to you before labor or during labor.

Mom’s water bag is like a big water balloon inside of her uterus (the uterus is the muscle that causes contractions). The water bag has layers/membranes and the bag allows your baby to move around during pregnancy.

“Water breaking” means that the amniotic sac surrounding your baby has either ruptured or has a leak. The water bag can break in two ways: a big gush from a rupture at the bottom of the bag (now baby’s head can sit on cervix and speed up labor) or it can leak at the top (a high leak) which causes more of a trickle. If you gush (really only about ¼ cup of fluid), know that there is still plenty of fluid inside for your baby. This can diminish over time, but he or she has a lot to spare.

This usually happens once moms are around term (37 weeks or more) because the sac surrounding the baby begins to weaken.

How do you know that it is the amniotic fluid?

You might feel like you peed your pants. This is what you need to do…
Go sit on the toilet and empty your bladder.
Note 4 things about the fluid
1. Time
2. Amount
3. Color
4. Odor

Change your underwear and walk around (amniotic fluid will continue to leak)

What should you do?

If you are not in labor and your water breaks then call your HCP.

If you are in labor and water breaks then...go to the hospital! Extra pressure on the cervix will cause contractions to increase in intensity telling you that dilation is happening very quickly.

What will your HCP do?

Not term (37 weeks or more)
Feel for intact bag of waters with vaginal exam
Ultrasound to check fluid level
Swab to check pH of fluid

Term (37 weeks or more)

No contractions
Tell you to wait at home for contractions to start for at most 12 hours
Tell you to go to the hospital and induce you with Pitocin

Contractions
Where are you with contractions? Active labor? Labor at home for 12 hours or go to the hospital.

What are Mom’s options

Some Moms experience their water break before labor starts (less than 10% of moms). In the majority of moms, their water usually breaks in the active or transition phase of labor.

Mom & baby are healthy, the fluid is clear with no smell, but contractions have not started...
You don’t have to be induced. About 45% of women will go into spontaneous labor within 12 hours. 75 - 95% of women will go into labor within 24 hours.
BUT know that as the length of time increases, infection risk increases. If you are 37 weeks or more, your HCP might want to induce you.

Mom needs to monitor for Infection (she might need to stay at the hospital to be monitored if she does not want to be induced) - Fever, chills, foul smelling, greenish amniotic fluid
*ACOG says infection includes fever AND one other factor.
*There is no definitive answer for if you will develop an infection.
Evidence on: Premature Rupture of Membranes https://evidencebasedbirth.com/eviden...


Whatever the scenario you get to make a choice. Make sure you are informed and know the risks and benefits.

Fun tips about Bag of Waters
Some mom’s bags don’t break during labor and baby is born en caul (in the bag of waters) but this is very rare.
My bag of water didn’t break. My Doctor performed an amniotomy.
If you want labor to speed up, you can request an amniotomy in the active phase of labor to speed up the labor process.

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Disclaimer: Please discuss any healthcare information found on this channel with your healthcare provider. Pearently exists as a source of information and educational purposes only. This should not be taken as medical advice or take the place of what your healthcare provider recommends.

Time Stamps
00:00 Intro
00:20 What is "bag of waters"
2:00 What is normal amniotic fluid
3:55 Did my water break or is it urine
4:39 What to do if my water broke
7:11 What if I am GBS positive and my water broke
7:45 What if my water breaks while I’m in labor
9:34 What if my water never breaks
4 سال پیش در تاریخ 1399/01/08 منتشر شده است.
141,076 بـار بازدید شده
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