The leakage of amniotic fluid during pregnancy: how to determine what is dangerous, what to do? How to understand that amniotic fluid leaks: symptoms, signs, causes, test in the second and third semester of pregnancy

The causes, signs and consequences of the leakage of amniotic fluid in different periods of pregnancy. Modern methods for diagnosing amniotic fluid. What to do if water began to leak?

Ameni -fluid water or amniotic fluid are an integral part of the intrauterine development process. The leakage or premature discharge of amniotic fluid is considered a pathology and requires urgent correction of the situation. But how to understand that the amniotic fluid leaks or moved in different periods of pregnancy? What to do if an amniotic fluid comes out? What are the methods for diagnosing amniotic fluid?

How do they look, what color, smell amniotic water?

Amonger waters perform a whole list of useful functions:

• Protect the fruit from external mechanical damage (shocks, bruises).
• At first, the embryo is provided with all the necessary substances and trace elements (proteins, lipids, carbohydrates, hormones, enzymes, etc.).
• Allow the baby to freely move inside the placenta.
• It protect it from infections and bacteria due to immunoglobulins contained in them.
• Provide the sound blockade of the fetus from the outside world.
• Prevent spontaneous overcast of the umbilical cord.
• All processes of the baby’s life are taken away.

The norm of amniotic fluid should be from 0.6 to 1.5 l, depending on the stage of development of the fetus and the gestational age. Any deviations from these indicators are already considered a serious problem. In this regard, women can diagnose polyhydramnios and lack of water. Underwestern are much less common than multi -guide, and is a more complex state.

As for the color of amniotic fluid, they look transparent, since 97% consist of water. With a thorough consideration in them, you can find lanugo (small hairs from the skin of the baby), as well as particles of the skin of the crumbs.

However, sometimes amniotic fluid have a completely different color, which indicates the presence of any changes and disorders in the process of fetal development:

• Pink amniotic fluid may indicate the presence of blood particles in it. Often this is a sign of placental detachment.
• If the amniotic fluid is painted in green or yellow, then this state of things may indicate hypoxia of the fetus or intrauterine infection.
• The most dangerous are dark brown or black fruit waters. In such situations, emergency assistance is needed for the baby and his mother.

If we talk about the smell of amniotic fluid, then many doctors claim that it is something similar to the aroma of breast milk. Perhaps this is precisely why, barely born, the baby is looking for a pain familiar to pain in his mother's chest.

Signs, symptoms and causes of the leakage of amniotic fluid in the second trimester

The reasons for the leakage of amniotic fluid in the second trimester can be:

1. Mechanical effect on the bubble (blows, falls, bruises).
2. Various kinds of infection that penetrated the genitals or through the placenta.
3. Tumors in the uterus.
4. Too intense or deep sexual contact (especially in the presence of contraindications).
5. Incorrectly technically performed diagnosis of a pregnant woman, which led to damage to the fetal bladder.
6. Eastmic-cervical deficiency.
7. Multiple pregnancy.
8. The presentation of the fetus.
9. Lack or excess of amniotic fluid.

It is quite difficult to recognize the leakage of amniotic fluid during pregnancy, since many women during this period of their lives very often suffer from urinary incontinence and involuntary urination. However, when closely examining the released fluid and careful observation of herself, the pregnant woman will still be able to independently diagnose the leakage of an amniotic fluid. In any case, even in the presence of weak signs of the output of an amniotic fluid, it is better to immediately consult a doctor.

• During external consideration, leaked amniotic fluid will have a transparent color and an unusual smell, while urine differs its yellowness and corresponding “aroma”.
• As for the identification of amniotic fluid in comparison with other discharge from the vagina, they often have white, yellow, green or pink and mucous impurities, which is uncharacteristic of fetal waters.
• The leakage of amniotic fluid can be observed with a sharp change in body position, as well as during physical exertion.

If the discharge of amniotic fluid was not diagnosed in time, then in the later stages a woman may observe more pronounced symptoms of a dangerous state:

• high body temperature
• nausea and vomiting
• weakness and aches in the body
• discharge with a sharp, unpleasant odor

You can also identify the leakage of amniotic fluid at home using special pharmacy testing products.

Signs, symptoms and causes of the leakage of amniotic fluid in the third trimester

If a woman, after 37 weeks of pregnancy on her legs, suddenly transparent liquid flowed, then she should take a bag with her and go to the hospital. This situation suggests that her fruit bubble burst, and the birth activity began.
If the pregnant woman began to notice that her linen remains wet transparent traces, then it is advisable to observe her - perhaps she leaks amniotic fluid. This state of things in the third trimester is not considered dangerous, but it must be diagnosed in time. The reason for this is the harmful consequences for the fetus - the lack of amniotic fluid can lead to oxygen starvation of the baby and other deplorable conditions.
To understand what exactly the leak is happening, you need to carry out a number of tests:

• Try to restrain the discharge with the help of the muscles of the vagina - if nothing happens, then there is a leakage of water.
• Emphasize the bladder as much as possible, wipe the dry and lie on a clean, dry bed for half an hour or an hour-if the sheet gets wet in a calm position or with a sharp movement, then this is also a sign of the release of amniotic fluid.
• Buy express tests at the pharmacy and do everything according to the instructions.

What is dangerous for the leakage of amniotic fluid in the second and third semester of pregnancy?

The leakage of amniotic fluid in the second and third trimester of pregnancy is dangerous with the following conditions and consequences:

1. An increase in the likelihood of penetration of infection to the baby.
2. Mechanical effect on the fetus.
3. The penetration of harmful microflora to the baby.
4. The detachment of the placenta.
5. Fruit hypoxia.
6. Distress syndrome of the fetus.
7. Premature birth.
8. Bleeding due to detachment of the placenta.
9. Hemorrhage in the brain of the baby in the early days of life.
10. Physical deformities of the fetus due to pressure on it.
11. Mother infection.

Amnishur test to determine the leakage of amniotic fluid

• AMNISHURU TEST is an express test that can confirm or refute the fact of the leakage of amniotic fluid.
• You can buy amnishur at any pharmacy.
• The principle of operation of this tool is based on identification in the isolations of the placental alpha Globulin, which can only be contained in amniotic fluid - no other human secret contains this substance.
• The test is so sensitive that this alpha globulin can recognize even with its minimum number.
• The accuracy of Amnisure is 98.7%.

Instructions for the use of amnishur test:

• We print the box and find inside the test tube with reagents, a tampon, a test strip and a tripod for a tube.
• We take a closed test tube with reagents in your hands and shake it thoroughly.
• When the entire substance in the test tube drops to the bottom, remove the lid from it and install it in an upright position in a special tripod.
• We take the swab in our hands and neatly unpack it in such a way as not to touch its tip.
• We take a swab in the middle of the handle and insert it into the vagina to a depth of no more than 7cm.
• We hold the swab in the vagina for about a minute.
• We take out the swab out of the vagina and lower its tip into the test tube.
• With rotational movements, we pierce the swab in the reagent for about a minute.
• After the specified time, we take out the swab out of the test tube and utilize it.
• We take a sealed test strip in your hands and gently print it.
• The white tip of the dough with drawn arrows is lowered into reagents.
• If there is a plentiful leakage of amniotic fluid, then the test will immediately show two strips.
• If the leakage was small, then you will have to wait about 10 minutes.
• If there was no leakage, only one strip will remain on the strip.

Attention! After a 15-minute dough in the liquid, its result is considered invalid.

Test gaskets for determining the leakage of amniotic fluid

• Another method for identifying amniotic fluid at home is special tests.
• The basic principle of operation of this tool is in reaction to liquids with an increased pH level.
• The fact is that in all female secrets of the pH often does not exceed the indicator of 4.5, while amniotic fluids differ in high pH - from 6 to 7.
• Thus, when it enters a special indicator built into the gasket, an amniotic fluid causes a change in its color.
• As for the indicator, you can not worry, since it is protected by two layers of special material and does not come into contact with the female body.
• On the inside of the gasket, its presence can only be determined, located in the middle, with a yellow strip.

The principle of action of the test:

• Gently print the gasket and take it out with clean, dry hands, trying not to touch the yellow line.
• We fix the gasket on the underwear so that the yellow strip passes strictly in the center of the vagina.
• We put on linen and do our own business.
• After 12 hours or when you feel abundant discharge, remove the test laying from the laundry.
• We analyze the spots formed on the gasket.
• In the presence of green or blue spots on the gasket, we can talk about the leakage of amniotic fluid.
• If no spots have formed on the laying test, then there is no leakage.

Note! Blue and green spots can also appear due to the presence of vaginal infections in a woman, therefore, in any case, the doctor must be informed about this result.

How to distinguish the leakage of amniotic fluid from discharge, urine?

It is possible to distinguish the leakage of amniotic fluid from discharge and urine in several ways:

• In color - amniotic fluid has no color.
• By smell - fetal waters or do not smell at all or have unobtrusive, special smell.
• With the help of amnishur test.
• With the help of tests.
• If possible, to control emission - leakage cannot be delayed.
• With the help of a change in the position of the body - with physical exertion or a sharp change in body position, as a rule, water leakage occurs.

Is it visible on an ultrasound leakage of amniotic fluid?

An ultrasound examination will not be able to fix the gap in the fetal bladder. However, this type of diagnosis is capable of identifying inaccurate, which is the result of the leakage of amniotic fluid. It is also possible to identify the involuntary departure of fetal waters in dynamics when the amount of amniotic fluid will become less and less from research to study.

How long and how long can amniotic fluid leak?

• In the first trimester of pregnancy, the amount of amniotic fluid is so little and imperceptible in the stomach of a woman that its leakage is almost impossible.
• The leakage of amniotic fluid can begin in the first half of the second trimester. Such conditions are considered very complex and almost incorrigible.
• In the second half of the second and first half of the third trimester, with the timely detection of the leakage of fetal waters, doctors try to pull the moment of childbirth to the maximum.
• In the later stages of pregnancy, when an amniotic fluid leaks, a woman has no choice but to show the world her baby.
• The leakage of amniotic fluid can last from half a day to two weeks.
• True, in some women in minimal and rare cases of leakage of water, their volume manages to recover, which is not a critical condition.
• However, even such women need to be constantly under the supervision of doctors.

Is it possible to stop the leakage of amniotic fluid?

• If the leaks of amniotic fluid were discovered from 36 to 40 weeks of pregnancy, then, as a rule, they begin to prepare a woman for childbirth.
• If the rupture or abundant leakage of amniotic fluid was found in a period of up to 22 weeks, then most likely a miscarriage is diagnosed.
• If the water leaks in the period from 22 to 36 weeks, then the doctors will do everything possible to support the mother and fruit until the crumbs of the lungs are completely developed.

As a rule, in such cases, it is prescribed:

• Antibacterial therapy (to stop or prevent any inflammatory processes in the body of the mother and fetus).
• Hormonal therapy (to restrain childbirth).
• Bed rest.
• Constant monitoring of a pregnant woman.
• Monitoring of fetal development parameters.

How do amniotic fluid leaks before giving birth to 37, 38, 39, 40 weeks?

Directly on the eve of childbirth in the event of a rupture of the fetal bladder, a woman may have the impression that she could not restrain her, and spontaneous urination occurred. In such cases, as a rule, about 150-250 g of fluid is poured. The gradual leakage of amniotic fluid occurs almost imperceptibly:

• After sleeping, when a woman wants to go to the toilet, she can take a wet spot on linen for her incontinence.
• During physical exertion or overstrain, linen can also get wet.
• If a woman lies, and then suddenly sharply changes the position of the body, then a little fluid can result in her.

Jumping of amniotic fluid: what to do?

• As soon as a woman discovers a spontaneous premature output of an amniotic fluid or a prerequisite for it, she should immediately inform the doctor.
• It is also advisable to independently conduct one of the pharmacy express tests.
• The test results are recommended to demonstrate to the gynecologist.
• The leakage of amniotic fluid is a very serious condition, because it is not worth joking with him - only the doctor will be able to provide qualified and timely assistance to a pregnant woman.

Lovely women, if you suddenly doubted in your discharge or felt something was amiss - do not delay, but urgently run to your leading specialist. Sometimes a few hours play a very important role in such a scrupulous and responsible business as bearing a baby.

Jumping of amniotic fluid: video