How to understand that the waters of pregnant women depart, what are their number? What to do if the water has left?

Toward the end of pregnancy, future mothers are tormented by fears and doubts: will they not miss the beginning of childbirth? One of the signs of beginning genera is the output of amniotic fluid. In this article, we will talk about how to understand that you have left the water and that you need to do it.

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All future mothers are worried before childbirth, especially if they are the first. Firstly, they are afraid to miss the beginning of fights or not to distinguish real fights from training.

Secondly, they are worried about everything collected in the hospital, or at night, if contractions begin, they will run around the house and sleep to look for the missing things. Well, in the third, many are concerned about the question, and suddenly the water will be left first, then what to do and how not to miss this moment.

How to find out that the water has left?

When the waters depart, this can be compared with spontaneous urination, as if someone had opened a tap and it does not close. The liquid can flow out with both stream and stream.

You may also hear or feel the cotton inside the abdomen before the excess of water, this was just the bubble burst
Water can also move both at one moment and leak gradually if the bubble rupture occurred along the side line or if it did not burst completely, and the liquid flows through small cracks
In this situation, it is difficult to distinguish water from urinary incontinence or abundant discharge from the vagina. To do this, you need to remember that the urine will have a yellow tint, and the discharge is thicker and resemble mucus, while amniotic fluid is very watery
Also, a woman can spend such a test at home: empty the bladder, wash and wipe her dry, then lie on a white sheet and wait about an hour. If a wet spot remains on the sheet after that, then water leaks in the pregnant woman
There is another way: special gaskets are sold in pharmacies, which will determine as a test whether it is water or not. This method is very convenient and you can conduct a test at home

How do water in pregnant women leave?

When the baby presses on the front wall of the bubble, it breaks and flows an amniotic fluid that protected and nourished it throughout the pregnancy.

The gap of the bubble can be both spontaneous or committed by a doctor for medical reasons, but a woman should understand the risks and necessity of this procedure.

What should be the number of departed waters?

Normally, the amount of water is in the range of 1-1.5 liters. How many of them will depart in every pregnant woman is a question that has no answer, because Each specific case is individual. The waters are divided into front and rear, they are distinguished by a belt of contact, which is the head of the fetus, tightly overlapping the walls of the birth canal.

Before childbirth, the front waters, 200-300 ml of liquid are usually released, and the rear waters, as a rule, come out during the birth itself.

Water left - when will the fights begin?

The waters of the pregnant woman can also move to the start of the fights, and already during the birth itself, but most often the liquid is still poured during the period of active contractions.

If the water is departed, but there are no fights, it is called premature discharge of water. Such a development of events is not very favorable, but it is quite common, in about 10% of cases
At early pouring There are already fights, but the cervix is \u200b\u200bdiscovered by only 4 cm or less
At timely pouring The contractions are regular and intense enough, the cervix is \u200b\u200bmore than 4 cm.
Belated pouring - This is when the bubble bursts some time after the full opening of the cervix

With premature and early discharge of water, there is a risk of infection of the fetus, and therefore these situations are considered complications. With a long -free -free period, a woman is administered antibacterial drugs to protect her and the child from infections.

It is known that the gap of the bubble leads to a more intensive work of labor:

contractions intensify
the cervix opens faster

Why did green waters go?

Normally, amniotic fluid is transparent and colorless, not having a pungent odor.

If the water is green, dark or interspersed, this indicates complications.

One of the main disorders that leads to the green color of the water is the fetal hypoxia. The child lacks oxygen, its rear hole is spontaneously reduced and the first feces of the child-Meconium, which has a dark green color, falls into the water
Also, the cause of green waters is the aging of the placenta, which is usually noted when overstrown by pregnancy. By the end of the placenta period, he can no longer fulfill all his functions fully and therefore supplies the baby less nutrients and oxygen
Another reason for this color is the infectious disease, such as flu, acute respiratory viral infections, infections of the genitourinary tract, etc.
It is rarely that a child has genetic diseases, while also an amniotic fluid can have a green tint

If you have green waters, and there is no birth activity yet, or it is very weak, there is a high probability that the doctor will prescribe a cesarean section, because The less the child spends in dirty waters, the less dangerous for him.

In any case, if you have green waters, immediately inform the doctor, and if you are still at home, quickly go to the hospital.

Why did the waters with blood leave?

If you have water with blood, immediately call an ambulance! This may be a consequence of the placental detachment, and the pregnant woman needs urgent hospitalization. The doctor will conduct an examination, prescribe additional examinations to determine the cause and condition of the child, and then decide on delivery.

Can water go without fights?

As a rule, if the waters move to the fights, then no later than 3-4 hours they should begin. If this did not happen, the question of stimulating the onset of childbirth with special drugs is raised.

About when to conduct stimulation, the opinions of doctors diverge. In Europe, they once again try not to intervene in the process of childbirth and begin stimulation only a day after the discharge of water, but in Russia they consider 12 hours, because They are afraid of infection of the child.

A woman needs to trust a doctor in this matter and not neglect his instructions, because The waterless period is very dangerous for many complications and if the administration of drugs is necessary for medical reasons, it must be carried out.

Why did the waters go in the early stages?

In the early stages, water can be departed due to the following factors:

there is an inflammatory disease of the genital organs of a pregnant woman, and there was also an infection in an amniatric fluid
eastmic-cervical deficiency-the failure of the cervix
instrumental intervention by doctors
bad habits of a pregnant woman and chronic diseases
anomalies in the development of the uterus
multiple pregnancy
injuries

With a premature rupture of the bubble, such a complication as Khoriamniite may occur. The complication is very dangerous and requires immediate delivery. It can be determined by the following signs: high temperature, chills, tachycardia, painful touch to the uterus, purulent discharge from the cervix.

Treatment of premature surplus of water is carried out depending on the degree of damage to the fetal bladder, pregnancy, the condition of the mother and child, the degree of readiness of the cervix.

Treatment can be either strict bed rest and drug treatment under the supervision of medical personnel, and immediate delivery or emergency cesarean section.

A very frequent consequence of the premature rupture of the fetal bladder and the discharge of amniotic fluid is the death of the fetus for various reasons.

If a woman retires water to 22 weeks, doctors recommend termination of pregnancy
From 22 to 24 weeks, there is also a very dangerous period, the consequences are unpredictable and mainly the forecasts are disappointing, the preservation of pregnancy may have sad consequences
Until 34 weeks, doctors recommend waiting tactics, prescribe strict bed rest and constantly control the condition of the fetus and mother
From 32 to 34 weeks, the maturity of the fetal and other examinations is evaluated, if everything is fine, they decide on delivery

Indications for emergency delivery:

the fetus weighs more than 2.5 kg
pregnancy period of more than 37 weeks
the fetus suffers
there are signs of infection

How to help move to the waters?

The issue of artificial discharge of water should be solved only by a doctor in the hospital and no one else. A woman should not do anything on her own in order to speed up the process of water discharge, because This is very dangerous for the fetus.

Medical personnel may decide on early piercing the fetal bladder to stimulate labor, but a woman must necessarily stipulate this issue with a doctor, find out all the risks and the need for this procedure. In most cases, this manipulation is unjustified and has many different consequences for the fetus.

The piercing of the bubble has no negative consequences only if the uterus is ready for childbirth and the cervix is \u200b\u200balready completely disclosed.

What to do if water departs: tips and reviews

Let's summarize:

The amount of amniotic fluid in the fetal bladder is 1-1.5l, when the front water is departed, it usually comes out about a glass of liquid
Water can move both before the start of the fights, and before the birth itself
The pouring of amniotic fluid can occur as a stream and gradually leak
Normally, water is transparent and colorless
If the waters have green, dark or with blood - immediately consult medical help
If the water is left at home, you need to go urgently to the hospital, because With the departure of water, the umbilical cord may fall out, when it is squeezed, the child will simply suffocate, not yet born. In the maternity hospital, the doctor will try to correct it back, if this fails, an emergency cesarean section is performed

Examination by the doctor after the departure of amniotic fluid

Whatever the pregnant woman may be, when the water is left, doctors strongly recommend that they urgently go to the maternity hospital. And since the discharge of water cannot be predicted, at the last period of pregnancy, do not leave the house without taking an exchange card of a pregnant woman and a passport, but better add packages from the hospital in advance so that you do not worry about anything if this happens.