Wasted water 20 30 how much they retain. How water flows before childbirth

A pregnant woman faces various difficulties throughout the entire period of bearing her baby. It is remarkable that many carry a child without serious problems and postpartum complications. However, there is a percentage of women who are unlucky enough to have some type of pregnancy pathology. An example of such a pathological condition is the leakage of amniotic fluid, which is dangerous to life and health baby by circumstance.

Amniotic fluid, also called amniotic fluid, are a special biological environment for the embryo. Their synthesis takes place in the baby's amniotic membrane. By filling the cavity of the pregnant uterus, they surround the fetus and play a huge role in ensuring the normal development and growth of the baby in the mother's tummy.

By its composition, amniotic fluid is a complex liquid that contains many nutrients and other substances:

proteins;
carbohydrates;
lipids;
vitamins;
enzymatic, hormonal systems;

mineral components;
immunoglobulins;
gases (oxygen, carbon dioxide);
fetal skin lubrication;
vellus hair.

The main functions of amniotic fluid

The main functions of amniotic fluid are:

Providing your child with all the necessary nutrients additionally to the main source of food through the placenta and umbilical cord. All the necessary substances are absorbed by the skin of the child, and in the later periods of pregnancy, the baby himself swallows a small amount of amniotic fluid and receives some of the nutrients orally.
Maintaining a constant temperature regime(within 37 degrees), as well as constant pressure.
Providing protective function in relation to the baby - a decrease in the strength of shocks from the outside, a softening of fluctuations inside the ovum.
Protective antibacterial function, mediated by the presence of antibodies in the composition of waters.
Ensuring free movement and the movement of the baby in the womb.
Reducing the intensity of sound exposure from the outside.

Thus, amniotic fluid is vital for the baby at any of the terms of intrauterine development.

How does normal rupture of amniotic fluid occur?

Normally, in any pregnancy, there comes a moment when the amniotic fluid begins to pour out. This happens in the form two main options.

In the first version, the fetal membranes, tearing in the center, provide one-time outpouring about 250 ml of amniotic fluid. The tear occurs right near the exit from the uterus. A pregnant woman feels at such a moment a sudden wetting of her underwear and clothes.
In the second version, the rupture of the baby's membranes occurs on their lateral part, that is, above the place of exit from the uterus. This ensures that there is no one-time expiration, and gradual leakage of amniotic fluid in small quantities for a certain amount of time.

As mentioned above, the amniotic fluid can be poured out only if the integrity of the amniotic membrane of the fetus is violated. Amniotic fluid leakage is a rather dangerous phenomenon, first of all, for the child.

First, if medical care is not provided in a timely manner, it threatens with miscarriage or even spontaneous abortion. Secondly, there is a risk from the walls of the uterus, asphyxiation of the child.
Thirdly, the leakage of water can provoke disturbances in the normal birth process, that is, its reduced or increased intensity. A particularly important consequence is the formation of respiratory distress syndrome in a newborn premature baby.

Causes of amniotic fluid leakage

In the normal course of pregnancy, amniotic fluid will be poured out only at the end of the first labor period, that is, after sufficient opening of the cervical canal. But in some cases, the wife observes the leakage of water in an earlier period of bearing the baby. Thus, the leakage of amniotic fluid is considered to be its advance expiration at periods before the course of pregnancy.

The list of etiological factors that can cause amniotic fluid leakage include:

The presence of an insufficiency of the cervix, leading to "protrusion" of the bladder in which the fetus is located, which only increases the risk of infection of the child with an infectious agent.
Infected genitals of the mother, which leads to increased maturation of the cervix and a high rate of production of specialized enzymes that can provoke exfoliation of the placenta and softening of the membranes of the fetus.
Small transverse dimensions of the pelvic ring of the expectant mother.
Wrong position of the baby in the womb.
The presence of the development of several embryos in the uterine cavity (multiple pregnancy).
Abnormal structure of the uterus (uterine septum, congenital shortening of the organ).
Chronic general somatic diseases (anemic syndrome, dystrophic changes in organs and tissues in various manifestations).
Alcohol abuse, smoking experience.
Incorrectly planned and illiterately performed invasive diagnostic techniques in the prenatal period.

Symptoms of amniotic fluid leakage

How amniotic fluid leaks? In almost all cases, the symptoms of amniotic fluid leakage appear in the late stages of gestation. In the early stages, the appearance of such signs is also possible, however, their determination is quite difficult due to the small amount of fluid released. There is so little of it that, mixed with ordinary vaginal discharge, it will completely remain unnoticed by a woman.

In certain cases, a pregnant woman can mistake the occurrence of a minimal discharge for the manifestation of urinary incontinence. In the later stages of pregnancy, the leaks will differ in their abundance, and the woman will not confuse them with anything else. Often the amount of discharge increases with tension of the pelvic muscles or active change of position.

What does amniotic fluid look like? Amniotic fluid can be of a different nature. In some cases, it is a colorless transparent liquid, while in others it is reddish, with a brown or green tint, with a pronounced odor, which clearly indicates the presence of pathology on the part of pregnancy.

How to diagnose amniotic fluid leakage

Currently, there are many methods that allow you to accurately determine the presence of excess amniotic fluid at the first suspicion of the mother. Specialized amniotic fluid tests using indicator test strips.

One of these tests for amniotic fluid leakage is "Frautest amnio"... Its essence lies in the fact that a pregnant woman wears a special pad on her underwear, which contains a test strip. When the gasket feels wet, it is removed, the strip is taken out and placed in the case included in the set for half an hour. Next, the color of the strip is assessed: if it turns yellow-green, the test can be considered positive.

The formation of such a color reaction is associated with the determination of the acidity of a woman's discharge, or to be more precise, the amniotic fluid is alkaline, and ordinary vaginal discharge is acidic. This allows you to distinguish them from each other. The main advantage of the test for the determination of amniotic fluid "Frautestamnio" is its simplicity and highly sensitive response to even the smallest traces of amniotic fluid in the secretions.

Another kind of tests AmniSure ROM based on the method of determining the protein alpha-microglobulin, which is highly specific for the composition of amniotic fluid. The kit includes a swab, diluent tube and test strip.

After collecting secretions using a swab, it is placed in a test tube for one minute. Next, the test strip is immersed in the same test tube, and the results are read on a clean, light surface from this strip. The presence of two stripes indicates the presence of amniotic fluid in the discharge of a pregnant woman.

In addition to quick tests, such research methods, how:

Collecting a woman's gynecological anamnesis, information about pregnancy, examination and instrumental research.
Taking a smear from the vagina.
(Ultrasound).
Amniocentesis with dye injection.

All therapeutic measures are aimed at preserving the life and health of the baby. But patient management tactics with a full-term and premature pregnancy differs significantly.

Prevention of amniotic fluid leakage

Timely detection and treatment of cervical insufficiency.
Timely preserving therapy in relation to the fetus (prevention of spontaneous miscarriage).
Remediation of chronic foci of infection in a woman's body, including in the genital tract.

A lively discussion, consisting of your questions and advice to each other, is only welcome. Share your own experience and clarify any unclear points on this topic. Your active discussion of the problem of premature leakage of amniotic fluid during pregnancy is beneficial not only to you, but also to all readers.

In this article:

The anhydrous period is one of the stages of childbirth. In the normal course of pregnancy, it occurs at the end of the first period. However, there are situations when the discharge of amniotic fluid begins much earlier than it should. A long dry period during childbirth can pose a threat to the health and life of both the baby and the mother.

The term "anhydrous period" means the time interval from the beginning (immediately after the rupture of the membranes) to the birth of the baby. The period is considered anhydrous, even if the amniotic fluid leaves in small portions through the microcracks of the fetal bladder.

When the membranes rupture

The discharge of amniotic fluid can be normal, early and premature:

Normally, rupture of the fetal bladder occurs during labor and the dilatation of the cervix by about 6 cm.
If the rupture occurred during childbirth, but with insufficient dilatation of the cervix, this is an early outpouring of water. This situation does not pose a great danger in a full-term pregnancy. However, the process of childbirth can be delayed, since the pressure of the fetal bladder during contractions helps the cervix to open at the first stage. And when the bubble burst in advance, labor activity may subside.
Premature discharge is considered the outpouring of water before the onset of labor. This pathological condition can occur at any stage of pregnancy. It is the most dangerous for the child, in most cases it is the beginning. The question of how much a child can be without water determines further medical tactics.

The duration of the anhydrous period is normal

How long can an anhydrous period during childbirth last? Everything here is individual. However, the normal is the duration of the anhydrous period in childbirth up to 6 hours.

Women who have already had an outpouring of amniotic fluid are naturally interested in how much a child can be without amniotic fluid. Pathology is considered to be the duration of the anhydrous period of more than 72 hours. It can reach from several days to several weeks, and without medical coverage during such a period, complications will definitely arise in the mother and the fetus.

As soon as the pregnant woman has lost water or there is a suspicion of leakage, an urgent need to consult an obstetrician-gynecologist. After all, how much a child can be in the womb without water in a particular situation is not known before a specialist is examined.

Why is a long anhydrous period dangerous?

If the premature discharge of water occurred after 34 weeks of normal pregnancy, we are talking about early birth with a high probability of a successful birth of a viable premature baby. The most fatal consequences for the fetus will be with the premature rupture of amniotic fluid in early pregnancy.

Possible complications of a prolonged anhydrous period:

Spontaneous abortion or premature birth. Their danger to the baby directly depends on the duration of pregnancy.
Premature placental abruption.
Prolonged dry labor. it is very painful and can be ineffective. The time between them lengthens, they become weak, thus, labor activity can completely subside.
Prolapsed umbilical cord with water.
Birth trauma to a child.
Infection of the membranes.
Intrauterine fetal death from hypoxia or infection.
The development of endometritis in a woman.
Development of sepsis, up to death in the mother.

Infection with a long anhydrous period does not mean the uncleanliness of the pregnant woman. The fact is that all women have their own unique vaginal microflora, which includes lactic acid bacteria and many opportunistic microorganisms.

The membranes form a sterile environment for the amniotic fluid. If their integrity is violated, bacteria quickly rise up from the vagina, penetrate through the holes into the bladder and begin to develop in the amniotic fluid, infecting the fetus. Of course, the presence of vulvovaginitis and vaginosis in a pregnant woman significantly complicates the situation, greatly increases the risk of bacterial inflammation and accelerates its development.

How long can a fetus live in an anhydrous period?

How long can a baby be without water in the womb? It has already been said above that the duration of the anhydrous period of up to 6 hours does not threaten the child.

How many hours a child can be without water depends on the viability of the fetus and on many other factors:

Gestational age.
Amniotic fluid volume.
Presence of intrauterine infection.
Whether we are talking about fetal hypoxia.

So, how long a child can be without amniotic fluid depends largely on the factors listed above. In a healthy mother in late pregnancy (over 28 weeks), in the absence of congenital abnormalities of the baby, correct presentation, absence of infection, competent medical management, pregnancy can be maintained until the required period for several days or even weeks.

Inspection in the waterless period

At the very beginning of the anhydrous period, or if you suspect a drainage of water, you must consult a gynecologist who will prescribe an examination. Because without carrying out diagnostic measures, no one knows how much a child can be in the womb without water.

Inpatient examination includes:

Ultrasound of the fetus with dopplerometry, which will determine the volume of amniotic fluid, the integrity of the membranes and the condition of the child.
Analysis for the determination of amniotic fluid in the vaginal secretion.
CTG (cardiotocography) of the fetus to clarify the condition of the child and whether he has hypoxia.
Tests to detect latent fetal infection.
Gynecological examination to determine if the cervix is dilated and whether the umbilical cord or parts of the fetus have prolapsed.
Other general clinical studies - blood and urine tests, assessment of the mother's condition.

Home Examination Tests

When a woman is feeling well but suspects that amniotic fluid is leaking, you can buy tests from the pharmacy to determine the amniotic fluid in the vaginal discharge:

Frautest Amnio gaskets ... The most convenient option for home use, represented by a conventional gasket. This method allows you to observe the discharge for 12 hours. The test is located in the gasket itself, so the assessment of the result is carried out when considering the presence of stains on it. If the result is negative, it is either colorless or yellowish. A positive result for the presence of amniotic fluid is the appearance of blue or green spots of any size and intensity on the pad.
AmniSure Test Kit ... This technique will give a more accurate result. The kit includes a vaginal swab, reagent and test strip. The tampon should be inserted for a while, then immersed in the reagent for 1 minute. You need to lower the test strip into the liquid and wait for the result for 10 minutes. A positive result is the presence of two stripes.

Treatment for anhydrous period

When the amniotic fluid is drained, regardless of the gestational age, the woman is hospitalized. It depends on medical tactics how long a child can be without water. It is very important that the patient adheres to the medical and protective regime and aseptic conditions of stay. For a pregnant woman, antibiotics are prescribed for prophylactic purposes, which cannot harm the baby. Also, drugs that suppress labor and other necessary drugs are used.

If the pregnancy is over 34 weeks, the pregnancy is not prolonged. The woman is hospitalized to ensure the normal course of labor. If necessary (if the anhydrous period lasts more than 6 hours, and there are no contractions, or they are weak and ineffective), labor is stimulated with medication. According to the indications, a mechanical expansion of the cervix is performed.

Termination of pregnancy or induction of preterm labor is carried out if there is an unfavorable prognosis for the child or mother:

massive bacterial infection of the uterus, placenta, membranes and the fetus itself;
the development of sepsis in the mother;
multiple deformities of the child and pathologies of his development;
detachment of a significant part of the placenta;
intrauterine fetal death.

How long a child can be without amniotic fluid is a very important question for a doctor. An anhydrous period is a normal stage of childbirth, but its long course can be dangerous. A woman does not know how long a child can be without water, so delay is absolutely unacceptable in this case. It is necessary to observe an obstetrician-gynecologist to choose the correct tactics for the management of pregnancy and childbirth.

Useful video about the waterless period

Moirody.ru

anonymous, female, 37

Pregnancy 19-20 weeks, there was a detachment, but everything returned to normal. After I passed all the tests, they were good! The Doppler is good, the first screening is not very good, the second was prescribed. During the first pregnancy, there was also a detachment and screening not very good, but a wonderful boy was born, who is already 4 years old !!! So, it came to the second screening, they tortured me for two hours, they tortured my whole stomach ... They said everything was fine, no pathologies ... I just saw a speck on the placenta and the doctor could not understand what it was ... They suggested it three days later still to approach ... But in the evening bleeding began and by morning the water flowed out. They could not save the child ... The question is, could a two-hour driving on the abdomen with a device and frequent abdominal braking provoke the passage of water?

Unlikely, but not excluded. It should be borne in mind that pregnancy or spontaneous miscarriage (up to 22 weeks) - due to many reasons: genetic factors; sexually transmitted infections; endocrine disorders; immune factors; uterine fibroids; adenomyosis; abnormalities in the development of the uterus, chronic endometritis, etc. To identify the cause of miscarriage or spontaneous abortion, it is advisable to conduct a number of studies at the stage of preparation for pregnancy: Determination of the hormonal profile - FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin, Estradiol, 17-OH- progesterone, Androstenedione, Androstenediol glucuronide, DHEA-sulfate (dehydroepiandrosterone sulfate), Testosterone total, Free testosterone, Dihydrotestosterone, SHBG (sex hormone-binding globulin) Determination of thyroid hormones - TSH4, Thyroxin triiodothyronine), Anti-TG (antibodies to thyroglobulin), Anti-TPO (antibodies to microsomal thyroperoxidase), Thyroglobulin Examination of vaginal biocenosis and culture of genital secretions for flora with determination of sensitivity to the main spectrum of antibiotics and bacteriophages (Sexually transmitted infections chlamydia, mycoplasmosis, trichomoniasis, gono rhea, herpes, etc.) Indicators of hemostasis Fibrinogen, Prothrombin, Thrombin time, APTT, Antithrombin III, Lupus, D-dimer, Protein-C TORCH-complex study Detection of antiphospholipid syndrome - APS- (determination of IgM and IgG antibodies to phospholipids cardiolipin, phosphatidylserine, phosphatidylinositol, phosphatidylic acid). Typing HLA class II genes - genes DRB1, DQA1, DQB1 - study for a couple Genetic risk factors for thrombosis and disruption of the folate cycle, increased homocysteine levels - F2, F5, MTHFR, MTRR, MTR Violation of most of these parameters can contribute to impaired sensitivity of the uterine mucosa to implantation of the embryo and, accordingly, further lead to miscarriage. The exact range of studies required is determined depending on the specific clinical situation.

anonymously

Thanks for the answer!!! And could they see the problem on the ultrasound, i.e. At 11-00 there was a screening (everything is fine, there are no pathologies, etc.), and at 21-30 bleeding began ... And they did not give the results of the ultrasound to the hands, saying, in three days you will come again, will we write there? ??

It is important to note that ultrasound of the pelvic organs is a subjective method, the information content and accuracy of which depends both on the class of the ultrasound device and on the qualifications of the researcher, in particular, it is more effective to conduct ultrasound by a gynecologist, also certified in the specialty of an ultrasound doctor. To determine an accurate diagnosis and correct interpretation of ultrasound data, it is necessary to compare the information obtained during ultrasound examination with clinical and laboratory data, as well as the results of other research methods.

If a woman becomes pregnant, then she must definitely learn about what amniotic fluid is and how it looks, when it leaves and in what volume. If you do not know this, then in some cases (for example, the contractions are very weak, but at the same time the waters gradually receded), you may not even notice the onset of the birth process. It can end very sadly for both the mother and her child.

What is amniotic fluid?

Amniotic fluid is a special fluid that is located in a woman's uterus and surrounds the baby throughout pregnancy. They protect the baby from infection that can penetrate the mother's genital tract, as well as from numerous mechanical influences from outside. Water helps the baby to feel as comfortable as possible in the uterus and not to experience possible shocks and other influences. Also, amniotic fluid plays another, no less important role. They restrain the walls of the uterus and thus create space in the woman's abdomen for the growth and development of the child. If there was no water, then the walls of the uterus would press on the child and he would not have any opportunity to fully develop.

The process of discharge of amniotic fluid

As a rule, the discharge of water before childbirth occurs at the end of pregnancy .. If during pregnancy there are no pathologies and complications, then the water leaves immediately before the birth itself, and this period (in most cases) is from 38 weeks of pregnancy. When your water has broken, but the contractions have not yet begun, do not panic. Get ready to go to the hospital, and the contractions will either begin on the road or be called artificially already in the hospital.

If the amniotic fluid departed before the 37th week of pregnancy?

Doctors do not consider it normal for amniotic fluid to drain earlier than 37 weeks of gestation. This situation requires immediate medical attention. It is worth noting that if the waters left earlier than 37 weeks of pregnancy, then there are two options for the development of events. In the first case, the child is immediately born and placed in a pressure chamber for babies who were born prematurely. The second option is when a woman goes to the hospital and for another two weeks she will not even be able to move normally, and all this time they give special antibiotics to avoid infection of the crumbs with an infection. The shorter the gestation period, the more water departed, the more difficult it will be to save the child. Of course, there are many cases in practice when a baby was born six months old and completely healthy. Although the risk of developing pathologies in such premature babies is too high.

If the amniotic fluid has departed before 20 weeks of pregnancy?

If the water begins to drain at the period of 20 weeks of pregnancy or a little later, then most likely it will not be possible to save the child and there will be a miscarriage. In this case, you need to immediately call an ambulance, because negative consequences can also affect the woman's condition.

How much amniotic fluid is drained before childbirth?

If the pregnancy is proceeding normally, then on average there will be about 1.5-2 liters of fluid in the woman's body. Although there may be some deviations from the norm and it depends directly on the individual characteristics of the woman's body.

It is worth noting that water can also drain in different ways. The ideal option for normal pregnancy without pathologies is the simultaneous discharge of the entire amount of fluid, so it is very difficult not to notice this.

If the pregnancy was with complications or there are some peculiarities of the woman's body, then the water can leave in parts over several days. In this case, it will be somewhat more difficult to notice them and to understand that they will depart only by the nature of the discharge.