Pregnancy / Childbirth

Rupture of the fetal bladder


Fracture of the fetal bladder, especially when it occurs at night, is often accompanied by doubt: is the wet sheet a signal that labor has just begun, or does it indicate that the future mother has not controlled her bladder?

After this first thought, another usually appears: has it just started and the next: are we going to the hospital?

Amniotic waters or urine?

If we have doubts whether the sheet is wet with amniotic fluid or urine, the easiest way is to smell a wet place. If the smell is sweet, then most likely it is amniotic fluid. Urine has a characteristic sharp smell.

Another signal of interruption of the fetal bladder is oozing of a clear liquid with a straw color. By the way, it is worth emphasizing that this fluid will not be lacking, because it is systematically produced by the body, also after the start of delivery. Its volume regularly renews every three hours.

Water seepage is more intense when lying down. When a woman is standing or sitting, the baby's head acts like a cork and reduces the secretion of fetal water (the secretion of water will be similar - when sitting or lying down - if the membranes are broken near the cervix).

Another test to solve the puzzle is attempt to stop the leakage of liquid. If we can do it, it's urine. If the filtration continues, these are amniotic fluids.

Were the waters gone when to the hospital?

If amniotic fluid are transparent, go to the hospital. It's best to get there within a maximum of two or three hours. If, however, amniotic fluid are not transparent they have a greenish brown color, there is nothing to wait for and you should go to the hospital immediately. In this situation, you can also call an ambulance.

What does the dark color of the amniotic fluid indicate?

The dark color of the amniotic fluid means that it is colored with tar, a dark green substance from the baby's digestive system. In the normal course of delivery, meconium is released after the baby is born. However, if the fetus is under a strong stimulus, for example, it is hypoxic, the meconium is excreted into the amniotic fluid. This situation is also observed in the case of transferred pregnancy.

Umbilical cord prolapse

In a few cases (once in 300 deliveries), especially in the case of premature rupture of the fetal bladder, the umbilical cord falls out. The umbilical cord falls into the cervical canal or even into the vagina.

If you see the umbilical cord loops in the vaginal opening or feel something is in the vagina, quickly call an ambulance. This is very important, because this situation threatens fetal hypoxia. Wait for an ambulance, lying on your back with your pelvis up.

When cramps?

Most women who develop a fetal bladder experience cramps quite quickly. Almost all within 12 hours, a dozen or so percent within 24 hours, and about 10% later.

Unfortunately, with the passage of time the risk of infection of the child increasesThat is why most doctors induce labor within 24 hours of leaving the waters (some of them wait only 6 hours).

Precautions

When the amniotic fluid goes away, it is worth reaching for large sanitary pads (not for tampons!), Keep the vaginal area clean, do not try to examine yourself, rub yourself from front to back. Of course, probably no one will think to have sex at the moment, but it is worth stressing not to do it too.