How can pregnant women prevent high-level water rupture and what are the symptoms?

High-level water rupture has a serious impact on pregnant women and fetuses, so maternal safety should always be paid attention to during pregnancy. So what is high-level water rupture? What are the causes of high-level water rupture? What are the symptoms of high-level water rupture? What should I do if I have high-level water rupture? How to prevent high-level water rupture? The following editor will introduce you in detail.

What is high water break

Generally, rupture of membranes refers to the sudden outflow of clear liquid from the vagina. The membrane that wraps the fetus ruptures and the amniotic fluid flows out. This liquid is slightly sticky and colorless, similar to urine. If it contains meconium or vernix caseosa, it is called rupture of membranes. Generally, labor pain precedes rupture of membranes, but sometimes it occurs without labor pain. High rupture of membranes refers to the high rupture of the amniotic membrane of the pregnant woman, the amount of amniotic fluid that comes out is also small, and it is far from the cervix. This situation is more difficult to differentiate and diagnose. Usually, the pregnant woman will feel that the vagina is moist, but the outflow is slow, which is somewhat similar to the symptoms of vaginal infection with periodic discharge.

Causes of high water rupture

According to relevant statistics, the incidence of early rupture of membranes is about 5%. The exact cause has not yet been determined, but it may include infection or other common pathogenic factors.

Infection is the main cause, which is commonly caused by group B streptococcus and bacterial vaginosis. Pathogenic factors include polyhydramnios, multiple pregnancy, amniocentesis, cervical incompetence, early placental abruption, placenta previa, congenital connective tissue abnormalities, etc.

The rupture of water before delivery is called early rupture of water, which may cause bacterial infection or umbilical cord prolapse. Therefore, after the rupture of water, in order to prevent the fetus from being affected, no matter what the occasion, you should lie down immediately to prevent the amniotic fluid from flowing out.

Lie flat and call an ambulance. You must remain flat on the way to the hospital. If brown or green tarry substance (meconium) is discharged from the vagina, tell the doctor because this is the result of the fetus's intestine being squeezed, which often means that the fetus is under pressure or in danger.

If the pregnant mother shows no signs of labor within 6 to 12 hours after her water breaks, the doctor will generally use oxytocin to help her enter labor and start delivery. The purpose of this is to prevent bacterial infection.

Symptoms of high water rupture

When a pregnant woman's water breaks, a large amount of fluid will flow out of the vagina, followed by a slow seepage; or when the pregnant woman only feels fluid slowly seeping out without a large amount of outflow, she needs to use a sanitary pad to absorb the fluid.

If the membrane ruptures at a high level, there will not be a large amount of fluid flowing out, the fluid flow will not be obvious, and it will be similar to normal secretions.

When a pregnant mother finds that her water has broken, please do not be anxious or panic. It is best to contact a doctor in time and do not have sexual intercourse, as this will increase the chance of intrauterine infection.

The doctor can arrange relevant tests to identify whether the membrane has broken. The most common methods are the test paper method and the cervical mucus test method. The test paper method is to place amniotic fluid on a special test paper. If the membrane is broken, the test paper will change color.

Cervical mucus examination involves taking cervical mucus and examining it under a microscope. The dried amniotic fluid is shaped like a fern or pine tree branch.

What to do if water breaks at high level

If amniotic fluid ruptures earlier than 32 weeks of pregnancy, the prognosis will be worse and the chance of premature birth will be higher. In addition, the development of the fetus will be greatly restricted due to the lack and loss of amniotic fluid.

If the pregnant woman's water breaks when the gestational age has reached 37 weeks, it is considered a full-term pregnancy. Basically, for early water rupture after 36 weeks, doctors tend not to perform tocolysis treatment and can prepare for delivery.

If early rupture of membranes occurs before 20 weeks, the treatment effect is usually not good, there are many sequelae, and the chance of fetal survival is very low. Therefore, some doctors may consider inducing labor to terminate the pregnancy after careful consideration.

If the membranes rupture between 32 and 36 weeks of pregnancy, the treatment will depend on the condition of the mother and the fetus. Usually the mother will be hospitalized for tocolysis and given antibiotics and tocolysis medications. Generally speaking, the prognosis is good, and if the fetus weighs more than 2,000 grams, there will be fewer sequelae.

Expectant mothers do not need to worry too much when facing early rupture of membranes, because sometimes the rupture of the amniotic membrane is very small, or the membrane ruptures at a high position, and it may heal slowly afterwards, and the amniotic fluid will no longer flow out. It is recommended that a doctor make a detailed diagnosis first and then decide on the best treatment method.

How to prevent high water rupture

Watch for danger signs and get regular prenatal checkups.

Pay attention to hygiene during pregnancy and treat vaginitis in the early or middle stages of pregnancy.

During the 14th to 16th week of pregnancy, women with incomplete cervical closure need to undergo surgical treatment.

To prevent impact on the pregnant woman's abdomen, temporarily avoid sexual intercourse during the last month of pregnancy.

You should not overwork when the due date is approaching, and those with multiple babies or polyhydramnios should extend the time of bed rest.

Increase nutrition. An article in the American Journal of Medicine in July 2001 mentioned that vitamin C and vitamin E can effectively prevent early water breaking.