The difference between premature rupture of membranes and leucorrhea

If a pregnant woman has placental abruption, it may lead to premature birth, umbilical cord prolapse and intrauterine infection. The symptom of placental abruption is that there will be water flow in the lower body. Because there is no pain when the amniotic fluid breaks, many pregnant women often think that it is urine or secretion discharge. So what is the difference between placental abruption and secretion?

What is the difference between placental abruption and secretions?

There is a significant difference between placental abruption and secretions in late pregnancy. Generally, the amount of vaginal secretions is not easy to be excessive. In the late pregnancy, when placental abruption occurs, the amniotic fluid flow is still significantly greater than the amount of secretions. Especially for some mothers, there is too much amniotic fluid. After the amniotic fluid breaks, the entire pregnant woman's underwear and trousers may be wet with the amniotic fluid. If this happens, please go to the hospital immediately for medical treatment. If the amount of amniotic fluid that has broken is large, the pregnant woman should lie flat at home, raise her hips, make a phone call, and have an ambulance take her to the hospital. Do not walk around. Because the baby's umbilical cord may fall out with the pregnant woman's amniotic fluid, it is very dangerous.

Also, the pH test paper for measuring the amniotic fluid of pregnant women will fade, but the pH test paper for measuring secretions will not fade. It can be checked through B-ultrasound. After the amniotic fluid breaks, B-ultrasound can show that the amniotic fluid flow in the uterine cavity is significantly reduced. Placental abruption and female secretions can be checked with special placental abruption pregnancy test paper. You can also have a gynecological examination to see if there is fluid flowing out of the cervix. Placental abruption is the sudden discharge of a large amount of cold water-like liquid from the vagina. Female secretions are less and slightly yellow in color. You can perform a pH test to confirm whether it is amniotic fluid. Regular pregnancy check-ups are recommended.

Ninety percent of patients feel that a large amount of fluid is discharged from the vagina. When pulling up the presenting part during rectal examination, they can see the increase of vaginal fluid. Sometimes the stool may be stained with vernix caseosa and meconium, but there are no other signs of labor such as abdominal pain. It can be seen through gynecological internal examination. When accompanied by intra-amniotic infection, the vaginal fluid has an odor, and there is fever, increased maternal and fetal heart rate, uterine tenderness, and increased white blood cell counts. When latent intra-amniotic infection occurs, there is no obvious fever, but the maternal and fetal heart rate increases. After the discharge of fluid, uterine contractions and dilation of the cervix often occur rapidly. Pregnant women may feel urine-like fluid being discharged from their vagina, and sometimes their private parts may just feel moister than usual. If a vaginal speculum is used for examination, fluid accumulation in the posterior fornix of the vagina, vernix-like substances and even meconium can be seen, or fluid discharge from the cervical canal can be seen as evidence of placental abruption.

If for some patients with upper ruptured membranes, it is difficult to distinguish from secretions, auxiliary tests can be used to assist in the diagnosis, starting with the measurement of vaginal fluid pH: normal vaginal fluid pH is 4.5~5.5, and pregnant women's amniotic fluid pH is 7.0~7.5. If the pH of vaginal fluid is ≥6.5, it indicates placental abruption with an accuracy of 90%. However, the specimen collection may be contaminated by blood, urine, cervical mucus, semen, etc., which may result in positive results. The second is the acid-fast staining test of vaginal fluid: collect blood from the posterior fornix of the vagina and place it on a coverslip. After drying, microscopic examination shows that the ferns are crystallized. Stain it with 0.5% Nile blue hydrochloride, and orange-yellow fetal squamous cells can be seen under the microscope. Stain it with Sudan III, and yellowish fat granules can be seen. Both can be identified as amniotic fluid of pregnant women with an accuracy of 95%. Color ultrasound examination of the gradual increase in the flow of amniotic fluid can help with the diagnosis. At present, the most commonly used test is the insulin-like cell growth factor fusion protein-1 test, which is a pregnancy test paper similar to a pregnancy test stick. It is very simple to operate and has a strong specificity. It will not be affected by blood, semen, urine and cervical mucus.

In general, the difference between placental abruption and discharge can be determined by pregnant women through their own experience, such as uncontrollable vaginal discharge, improvement after exercise and other clinical manifestations. They can also use auxiliary examination methods and discharge to comprehensively distinguish whether it is placental abruption. If this happens, seek medical attention immediately to avoid adverse pregnancy outcomes.

What should I do if my leucorrhea is abnormal during pregnancy?

First of all, you cannot take medicine if your leucorrhea is abnormal during pregnancy. The medicine will cause harm to the fetus. Even if you take medicine, you must use it according to the doctor's instructions and cannot use it on your own. There are many external washing solutions. Pregnant women can perform external washing according to their own symptoms. Do not use internal irrigators to prevent medicine from contacting the uterus and harming the fetus. Secondly, the secretions during pregnancy will increase significantly, and because the cervix gradually opens, it is very easy to be infected by bacteria. You need to wash it with warm water every day. When it feels uncomfortable, you can use a little saline or a lotion that can be used by pregnant women to wash it. You need to change your underwear every day and disinfect it at high temperature. Don't sit for too long, and get up and walk more often.

One thing is, use less detergent for cleaning, and use warm water as much as possible. The detergent will make people dependent and make the acid-base balance in the vagina unbalanced. Do not use a bathtub for bathing, use a shower, prepare special cotton towels and washbasins, dry them after use to avoid the growth of bacteria, choose cotton and breathable underwear, and drink plenty of water and fruit juice to avoid urinary tract infections. There are many inquiries from pregnant women in clinical medicine. What should I do if I am pregnant and my leucorrhea is abnormal? Below I will summarize and analyze this issue. When a pregnant woman has abnormal leucorrhea, don't panic first. Go to a reliable hospital's gynecology department for medical treatment and do a routine examination and analysis of the leucorrhea to see if there are trichomonas, fungi or bacterial infections in the secretions.

The most common clinical case is bacterial infection of Trichomonas vaginitis, and its typical discharge is characterized by grayish white color, thin, and accompanied by fishy and fishy odors. If you measure the pH value of a woman's vagina, it is generally over 4.5. If Gardnerella is found in the secretions, then bacterial infection Trichomonas vaginitis can basically be diagnosed. In its treatment plan, we strongly recommend taking ornidazole 400 mg orally, twice a day, for a cycle of 7 days or clindamycin 300 mg orally, twice a day, for 7 consecutive days.