Getting Ready for Birth

Getting Ready for Birth

When your water breaks

Your water broke before labor in about 1 in 10 pregnancies. Note the time and color and call. Do not wait if it is green or you are GBS positive.

General research · seeking a stewardbirthAlso searched as: water broke, PROM, leaking fluid, GBS and water breaking

What it is

Water breaking is the sac around the baby opening and fluid coming out. It happens before labor in about 1 in 10 term pregnancies, called PROM, prelabor rupture of membranes. Before 37 weeks it is PPROM and always a call now. The movies show a gush. Real life is often a trickle that keeps coming when you move. Leaking fluid is clear or pale yellow and smells sweet or like nothing.

What's typical

At term, about half of mothers are in labor within 5 hours and 95 in 100 within 28 hours. The longer the sac is open, the higher the chance of infection. Green or brown fluid means the baby passed meconium and needs watching. Nothing goes in the vagina after this.

What's known

ACOG recommends offering induction when labor has not started, because it lowers infection with no rise in cesareans. Waiting 12 to 24 hours can be reasonable for a GBS negative mother who is well and watched. GBS and water breaking is the exception: if your test was positive, you go in now for antibiotics.

What helps

  • Put on a pad, lie down 20 minutes, then stand. A gush when you stand points to fluid, not urine.
  • Write down the time and look at the color before you call.

When to call someone

  • Nowgreen, brown, or bloody fluid, something in the vagina, under 37 weeks, GBS positive, a fever, or the baby moves less. Go in now.
  • Call now: any water breaking at term, even with no contractions. Your provider will tell you when to come in.
  • At your next visitask their plan for PROM and what your GBS result was.

Who helps

Tools: Birth Plan Generator

Related

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Sources

  • American College of Obstetricians and Gynecologists — Practice bulletin on prelabor rupture of membranes
  • American College of Obstetricians and Gynecologists — Patient FAQ on group B strep and pregnancy
  • NHS — Signs that labour has begun: waters breaking

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.