Signs
of water breaking
Typically
when your water breaks, you will feel a gush of water followed
by a steady, uncontrollable leaking. Some women have noted
a distinct popping feeling right before their water breaks.
Even still, there are others who experience atypical symptoms
such as a trickling of fluid or generalized wetness in the
perineal area.
Vaginal
fluid and discharge increase toward the end of pregnancy,
this can sometimes be confused with amniotic fluid. Conversely,
leaking amniotic fluid may be mistaken of urine or other vaginal
fluid. It is imperative to have a health care provider evaluate
any instances of possible leaks or ruptures in the bag of
water.
Any time
there is a rupture or leak in the amniotic membrane this opens
an entry way for germs and infection. In full term pregnancies,
labor usually begins within 24 hours from the time of the
water breaking. If labor does not begin spontaneously, your
baby and you are at greater risk for infection. The longer
your water has been broken the greater your chance of infection.
What
if I think my water broke?
If you
think your water has broken, make a mental note of the time,
the color and appearance of the fluid and any other characteristics
and call your doctor promptly.
If you
think your water has broken, this is not the time to feel
embarrassed. Be assured you will not be the first person to
call unsure if her water has broken.
How will
I know if my water has broken?
When your
water breaks, amniotic fluid tends to pool in the vagina.
Your doctor will perform a sterile speculum exam to look for
any signs of pooling. She will also perform testing on the
fluid. Amniotic fluid is alkaline in nature. By placing the
fluid on nitrazine paper, your doctor can evaluate the ph
of the fluid. Nitrazine paper is extremely accurate in detecting
the presence of amniotic fluid.
Another
method for checking for the the presence of amniotic fluid
is placing the fluid under the microscope. Amniotic fluid
has a ferning appearance under a microscopic lens.
What
will happen if my water has broken?
If your
doctor determines your water has broken, you will most likely
be admitted to the hospital. If full term, your doctor may
induce you if labor does not begin on its own within 24 hours.
If preterm, you will most likely be under hospital care until
delivery. For early gestations, your doctor will try to prolong
delivery to allow time for lung maturity.