What to do if my water breaks but I don't have any contractions

In the later stages of pregnancy, the pregnant woman may give birth to a baby at any time. At this time, the pregnant woman's family members must accompany her at all times. If the pregnant woman shows signs of delivery, she must be sent to the hospital for hospitalization in time. Under normal circumstances, when a pregnant woman is about to give birth, she will have obvious uterine contractions and pain, but some pregnant women will experience water breaking first, without any symptoms of uterine contractions.

What to do if my water breaks but I don't have any contractions

1. Once water breaks, no matter where the expectant mother is or what she is doing, she should lie down immediately, place a pillow or cushion under her buttocks, and try to keep her buttocks higher than her head.

2. Use amniotic fluid test paper (PH test paper) to test, because amniotic fluid is alkaline. If the color of the test paper turns dark green, it means that the water has broken.

3. If it is confirmed that the water has broken, call an ambulance or taxi immediately. On the way to the hospital, the expectant mother must also remain lying flat.

4. Pay attention to check whether there is meconium discharged from the lower body. If you find brown or green tarry substance, please tell your doctor immediately. This may be caused by the fetus being squeezed or in danger in the mother's body.

5. If a pregnant woman's water breaks in a public place, although it is a bit embarrassing and not common, she should still seek help in time. Everyone will understand and support her.

Management of early rupture of membranes

1. If you suspect your water has broken, what you can do is:

Whenever you feel your water breaking, you should go to the hospital for a check-up to confirm whether it is your water.

2. After you notice signs of water breaking, you must lie down and rest, and do not get up or move around. To avoid excessive amniotic fluid loss and umbilical cord prolapse, the buttocks should be raised with a cushion.

3. Do not take a bath, do not put anything in the vagina (do not do a pelvic examination), do not have sexual intercourse, stay clean, drink plenty of water, and measure your temperature twice a day.

4. If brown or green tarry substance (meconium) is discharged from the vagina, tell your doctor, because this is the result of squeezing of the fetal intestinal cavity, which often means that the fetus is under pressure or in danger.

5. A series of examinations after hospitalization include: determination of gestational age, detailed medical history, menstrual history, prenatal examination records, ultrasound monitoring, estimation of fetal weight, white blood cell classification, inflammation index, cervical bacterial culture, and fetal monitor.

6. Further treatment according to the number of weeks of pregnancy:

16-22 weeks of pregnancy: Since the fetal survival rate is less than 25% and the morbidity rate of continued pregnancy is as high as 58.5%, the principle of treatment is to terminate the pregnancy or adopt conservative observation therapy according to the patient's wishes.

23-24 weeks of pregnancy: According to Japanese research, the survival rate of premature babies at this time can be as high as 90%, but there are still many complications of premature fetuses. It is advisable to discuss with the pediatrician and family members before deciding whether to terminate the pregnancy or keep the fetus.

25-31 weeks of pregnancy: Conservative treatment, including the use of antibiotics, tocolytics and steroids, and observation for clinical symptoms of infection. The inflammatory index is monitored every 3 days, and ultrasound is used to assess fetal maturity every week.

32-34 weeks of pregnancy: If the fetus' lungs are mature, induced labor is performed. If the fetus' lungs are not yet mature, steroids can be given and the fetus can be kept in place until 34 weeks before delivery.

After 34 weeks of gestation: start neonatal group B streptococcal infection prevention and fetal delivery.

7. Dealing with other dangerous situations. Clinically, if the mother is found to have a fever, the mother and fetus' heartbeat continues to accelerate, there is uterine tenderness, strong uterine contractions, foul-smelling vaginal secretions, or an increase in white blood cell count and inflammation index, it is very likely that "chorioamnionitis" is present. At this time, broad-spectrum antibiotics should be used as much as possible for treatment, and the fetus should be delivered as soon as possible, with cesarean section being performed if necessary.