It’s Time!!! My Water Broke!



Many of you have probably seen in movies or on a tv shows when a pregnant woman nearing the end of her pregnancy and she is at the store or some other public setting and all of the sudden she has this HUGE gush of water come out and she is instantly feeling the urge to push. She is rushed to a hospital, screaming a yelling the entire time.

Well… I hate to break it to you but this is NOT the way things normally happen!

Only about 10-15% of women start labor with their water breaking. Yes, you read that right!

If your water happens to break before you are at the location where you will be giving birth you should make note and be aware of a few things.

COAT….Color, Oder, Amount, Time

Your provider will want to know these things.

Color- The color of your water should be clear. Yellow or greenish brown color would indicate that your baby has had a bowel movement in utero, known as meconium.

Odor- There is typically little to no smell to normal amniotic fluid. If you do smell a strong odor it may mean indicate that there is an infection.

Amount- You will want to make sure you take not of whether it was a trickle or a gush of fluid. If you are unsure if your water actually broke, go to the bathroom and urinate. Then lay down on your side for 10-15 minutes. If your water has broken you will more than likely have a pool of fluid in your vagina that will come out when you stand up.

Time- You are at an increase risk of getting an infection once your water breaks, so knowing the time your water broke is very important. Your provider may want to induce labor if contractions don’t start on their own within a certain time period.

You can read more about Rupture of Membranes here.

Some things to keep in mind:

* Some providers may want to break your water to “help get labor started” or “to move things along”. Remember you ALWAYS have the option to decline this procedure from being done.

*Most of the time your water eventually break on its own at some point during your labor. When it does happen let your nurse or provider know so that she can do the COAT assessment.

*If your water break and you have been tested positive for Group B Strep, your provider will ask that you go to the hospital right away. You will need to have antibiotics administered as soon as possible.

*If your water breaks and you have not been tested positive for Group B Strep, stay as active as possible. Being active can help contractions start. Some ways you can do this is by using and exercise ball to move your hips in a figure eight. Going for walk is a great way to to get contractions going.

*You should NOT have sex after you water breaks, this can introduce harmful bacteria into your uterus.

*Only a very small amount (fewer than 1 in 80,000 births) of babies are “born in the caul”. This is when the amniotic sac doesn’t rupture and baby is still in the amniotic sac when they are born.

Kim Sabin