In a few cases, the amniotic sac may reseal itself and prevent fluid leakage. The fetus will continue to produce amniotic fluid even if there is a leak, but it may not be enough if there is a heavy leak (13). Nevertheless, you should get it checked by the doctor before concluding anything. However, if it occurs in the second trimester and is accompanied by other symptoms such as abdominal pain, it could be a sign of miscarriage. Leaking amniotic fluid is not one of the common reasons for a miscarriage. Does Leaking Amniotic Fluid Mean Miscarriage? However, consult your doctor about the safety and efficacy of its consumption. PROM is generally not preventable but avoiding the risk factors such as smoking, alcohol, and unprotected sex might reduce the probability of the condition (11).Īccording to one clinical trial study, intake of vitamin C supplements by pregnant women, with a history of PROM, after the 14th week of pregnancy may help reduce the risk of PROM in the current pregnancy (12). Can You Prevent Premature Rupture Of Membranes? Nitrazine paper test can help detect amniotic fluid leakage when the leakage is slow and difficult to differentiate from urine (21). Re-hydration: You may be given fluids orally or intravenously to increase the amniotic fluid level.Adding fluid to make up for the loss of amniotic fluid will provide extra support around the umbilical cord and reduce the chances of a cesarean. Amnio-fusion: This may be carried out using an intrauterine catheter i X A device placed inside a pregnant woman's uterus to monitor uterine contractions during labor during labor induction.If the PROM causes low amniotic fluid levels (10): Admission to a hospital for observation and fetal monitoring and transfer to a hospital where there are good neonatal intensive care facilities just in case the baby arrives early.Magnesium sulfate to protect the fetus from neurological complications such as cerebral palsy if delivery is expected within 24 hours before 32 weeks of gestation (9).Delivery to manage PROM unless there are benefits from delaying it without any risks.Tocolytic i X Procedure used to delay delivery in women having preterm contractions medicines to prevent preterm labor.Prescribes antibiotics to prevent infection.Administers corticosteroids i X Medication used to reduce inflammation and overactive immune system to speed up the maturity of the fetal lung between 24 and 34 weeks of gestation.If fluid leaks or PROM occurs before term, the next steps could be (8): If it occurs at term, it is managed with delivery unless there is an indication to wait for spontaneous labor. The treatment plan differs for a woman based on the gestational age, cause of fluid leakage, and maternal and fetal health status. How Is Amniotic Fluid Leakage Or PROM Treated? Amniotic fluid is usually clear and odorless however, it may be concerning if it is green or mixed with blood.” If you are concerned your water broke, call your doctor immediately. It can be a continuous trickle or a few spurts of leaking at random times. Leaking amniotic fluid typically occurs randomly and feels almost like you are peeing on yourself. Stephanie Langsam, FACOG, a Wynnewood, Pennsylvania-based physician specializing in Obstetrics and Gynecology, says, “ It is hard to know that your water broke, and rarely there is a moment with a large gush of fluid. First-time mothers may find it difficult to differentiate between amniotic fluid, mucus plug, urine, and vaginal discharge. A small hole in the amniotic sac, it may lead to a slow fluid leak, which feels like the trickle of fluid down to the vagina. This is also known as a water break, and it usually happens when you enter labor. Signs And Symptoms Of Amniotic Fluid LeakĪmniotic fluid comes out in a gush when the membrane ruptures.
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