What is early water discharge?
Inside the uterus, the fetus "bathes" in amniotic
fluid in a transparent bag (amniotic fluid) that
prevents leakage of amniotic fluid. The amniotic fluid
protects the child. At birth there is a hole in this
amniotic membrane and the amniotic fluid runs out. Early
water discharge is when the amniotic fluid goes off
without any other signs that the birth has started.
6-12% of all pregnant women have no pain up to an hour
after amniotic fluid has passed.
Premature discharge means that "the water goes" three
weeks or more before the end of pregnancy. Premature
water discharge complicates about 3% of pregnancies and
is the cause of one-third of all premature births.
Often, there is no direct cause for the water to go
prematurely, but a number of factors can trigger the
condition, such as local inflammation of the fetus,
cervical malformation, inflammation of the vagina or
cervix, damage, enlargement of the uterus and abnormal
function of the fetal membrane.
Who gets premature discharge?
Premature water discharge is a rare complication, and
it is unknown what is causing the condition. If you
smoke, have had a sexually transmitted disease or have
had premature water discharge before, the risk of having
premature water discharge increases. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity swimsuits. If you have
recently had bleeding from the vagina during pregnancy,
you also have an increased risk. Multiple pregnancy can
also pose an increased risk as the uterus in these cases
becomes slightly enlarged.
Some procedures increase the risk. For example, to
sew together the cervix (cerclage) to prevent premature
birth, or insert a needle into the amniotic sac to suck
out amniotic fluid (amniotic fluid test).
What is the problem with premature water discharge?
In some cases, premature discharge may cause the
umbilical cord to become trapped, which may stop the
blood flow to the baby. There is also a risk that
bacteria can reach the uterus and cause an infection in
both the woman and the child. Premature discharge can
lead to premature birth, which in turn increases the
risk of brain damage and breathing problems because the
lungs are immature in the newborn baby.
How is the condition diagnosed?
When the water goes down, the pregnant woman is
usually fully aware of what is happening. It comes
relatively abundant with light clear and sometimes light
yellow liquid from the vagina, and you often get soaked
down in a short time. Some wonder if they have paused,
but notice that they cannot stop the flow of fluid by
going to the toilet.
It is important to inform the doctor if you have
known contractions (aches), have had a bleeding from the
vagina, if you have had sex or if you have a fever. The
doctor will examine you gynecologically and see if the
cervix is open - to assess if the delivery is
underway, but the doctor often refrains from feeling in
the vagina as it increases the risk that bacteria can
reach the uterus.
When leaving amniotic fluid prematurely in pregnancy,
the pregnant woman should be admitted to the maternity
ward. The pregnant woman must be examined carefully and
with sterile instruments to prevent the spread of
bacteria into the uterus. In the hospital, the pregnant
and the fetus are closely monitored. Changes in fetal
heart activity and increased temperature or CRP in the
mother, are recorded as a sign of infection, which is a
risk of premature discharge.
The reason for treating pregnant women with premature
water discharge is to prolong pregnancy if the water
goes early during pregnancy. It is also important to
avoid infections that can rise through the vagina and
affect both the fetus and the pregnant woman.
If the water goes before week 32, and if there is no
infection present, you are treated with bed rest and
painkillers. Cortisone preparations can be given to
increase the lung maturity of the fetus. In the case of
water discharge in the 33rd-35th week of pregnancy
without infection, the risks associated with premature
birth are assessed against the risk of infection.
Generally, one is treated with painkillers for one to
two days, and then allows the woman to give birth
normally or by making caesarean sections. At a
gestational age of more than 35 weeks, the birth is
started with painkillers, if it does not start by itself
after a day.
Antibiotic prevention is relevant if beta-hemolytic
streptococcus bacteria are detected in the vagina. All
pregnant women admitted for premature water discharge
are tested for this.