In idol dramas, there are often plots where the heroine is pregnant and has a baby. The key is that when a child is in labor, there will always be severe pain in the stomach or the water will break a lot. Perhaps the drama must exaggerate the situation to attract the audience\’s attention, but the actual situation is not as explained in the plot that a baby can be born with just a few strokes!
This article will describe one of these signs, water breaking. There are many situations when water breaks, and most mothers cannot accurately tell the difference between amniotic fluid and urine or secretions. What should happen when the water actually breaks? A professional obstetrician and gynecologist will give you the most correct answer.
Key report 1
water breaking position
Low water rupture: The water breaks at a low position, near the vagina, and a large amount of watery material will flow out of the vagina.
High water rupture: The water breaks at a high position, close to the top of the uterus. This condition is difficult to diagnose. Typically, pregnant women will feel a moist but slow flow from their vagina, similar to the feeling of secretions coming out of a vaginal infection.
Key report 2
water breaking time
[After 36 weeks of pregnancy] If the gestational age has reached 38 weeks and the amniotic water breaks, it is considered a full-term pregnancy. However, if early water rupture occurs after 36 weeks, doctors often will not prescribe anti-tocolytic treatment.
[32-36 weeks] If the water breaks at 32-36 weeks, depending on the conditions of the mother and baby, the mother will generally be hospitalized for miscarriage treatment and given antibiotics and miscarriage drugs. Generally, the prognosis is very good, especially if the fetal weight is above 2000 grams, there will be almost no sequelae.
[Before 32 weeks] Premature labor is likely to occur if the water breaks prematurely under 32 weeks, and the development of the fetus is greatly restricted due to the lack and loss of amniotic fluid. However, doctors will give steroids according to the situation to allow the fetus\’s lungs to mature as quickly as possible and improve the chance of survival in premature birth.
The above treatment principles can only be established when there is no infection. If there are symptoms of infection (such as fever, uterine tenderness, amniotic fluid leakage, significant increase in white blood cells, etc.), the pregnancy should be terminated in time, and an autopsy and uterine delivery can be performed if necessary.
fetal rupture
Breaking water is like breaking a cocoon. The fetus is about to leave the mother\’s warm womb. Of course, the amniotic membrane that originally protected him had to be destroyed. After the amniotic membrane ruptures, the amniotic fluid inside will flow out naturally.
Confirm that the fluid flowing out is amniotic fluid
When a mother suspects that her water has broken and goes to the hospital, if the situation cannot directly determine whether it is amniotic fluid, the doctor will usually use a test strip to test the fluid flowing out to confirm that it is amniotic fluid and not urine or vaginal secretions. Qiu Siyuan, the attending physician of the Department of Obstetrics and Gynecology, said that it is difficult to judge with the naked eye that water breaks, usually at a high level, because there will not be a large amount of fluid flowing out, the fluid flow is not obvious, and it feels like secretions, which is difficult to distinguish. However, once it is determined that the mother\’s water has broken, the doctor will decide whether to give birth immediately or wait for delivery according to the situation.
water breaking crisis
Water rupture is one of the more troublesome of the three major signs, because it may be accompanied by infection problems, but water rupture does not mean that the fetus is in danger. Dr. Qiu Siyuan said that the main component of amniotic fluid is fetal urine, and also contains a small amount of minerals, rare elements and growth hormone. However, the main function of amniotic fluid is to protect the fetus from violent electric shocks, acting like an airbag. Anti-collision water bag. Therefore, water rupture will not cause interruption of fetal oxygen supply or loss of nutrients, exposing the fetus to the risk of \”hypoxia and nutrition deficiency.\”
What is premature water rupture
Premature water rupture means that the fetal membranes rupture and amniotic fluid flows out before the mother experiences labor pains. According to statistics, the incidence of early water rupture is about 3%. If the water breaks prematurely before 37 weeks, it is also called \”premature water rupture\”, and the incidence rate accounts for about 1/3 of all premature babies.
Staying away from the harm of cigarettes during pregnancy is beneficial to the health of the fetus.
Pregnant mothers should supplement with an appropriate amount of vitamin C.
Avoid premature water breaking
Since the main function of amniotic fluid is not to provide oxygen and nutrients to the fetus, why do you have to go to the hospital quickly if the amniotic fluid breaks? Dr. Qiu Siyuan pointed out that breaking the water may endanger the life of the fetus. The most important factor is not the possibility of complications such as infection and inflammation, premature birth, umbilical cord prolapse, and placental separation.
Unknown cause of early water rupture
Why does my water break early? Dr. Qiu Siyuan said that the cause of early water rupture has not yet been determined and is not fully understood. But certainly, women who smoke, bleed during pregnancy, or have had their water break before giving birth are at risk of having their water break prematurely. Additionally, uterine contractions, polyhydramnios, fetal growth stress, multiple births, or certain nutritional deficiencies (vitamin C) can also weaken the amniotic membrane. In addition, some experts believe that \”infection\” may be the real key: bacteria (commonly type B streptococci) pass through the cervix from the mother\’s vagina and stimulate the amniotic membrane, which can also cause early water rupture. As for whether sexual intercourse can cause early water rupture, there is currently no relevant research to prove it.
There is currently no good and effective way to avoid water breaking. Therefore, in any case, pregnant women must be vigilant and cautious if their water breaks before the expected date of delivery. Develop health and life security.