In most cases, your healthcare provider will want to deliver your baby within 48 hours of your water breaking, although the timing can vary depending on your medical history and how many weeks you are in pregnancy.
Every woman's labour progresses differently, however most women go into labour on their own after their waters break. Around 7 in every 10 women give birth within 24 hours of their waters breaking and almost all women (9 in every 10) give birth within 48 hours of their waters breaking.
You may stay in the hospital until you give birth. If your water breaks before 23 weeks, the doctor will talk to you about the dangers and benefits of continuing the pregnancy. Babies born after such an early water break are less likely to live. Those that do are more likely to have mental or physical disabilities.
Typically, after your water breaks at term, labor soon follows — if it hasn't already begun. Sometimes, however, labor doesn't start. If you experience prelabor rupture of membranes, your doctor might stimulate uterine contractions before labor begins on its own (labor induction).
Sometimes the membranes break before a woman goes into labor. When the water breaks early, it is called premature rupture of membranes (PROM). Most women will go into labor on their own within 24 hours. If the water breaks before the 37th week of pregnancy, it is called preterm premature rupture of membranes (PPROM).
Your baby will be closely monitored in labour and following the birth if your waters have been broken for longer than 24 hours. This is to monitor for any signs of infection and for this it would be recommended that you and your baby remain in hospital for 24 hours following the birth.
Your baby will continue to move once your water breaks. However, without that extra fluid and cushioning, there is diminished buoyancy. This will result in the baby not being able to reposition if the baby is malpositioned (in a less ideal positionfor birth).
You may opt to stimulate labor using natural means. You can try nipple stimulation using your hands, or a breast pump. This helps produce oxytocin, which can help start contractions. 4 If you don't have a breast pump, you can usually get one from a hospital lactation consultant.
However, if your water breaks, the best thing you can do is to call your healthcare provider or head to your delivery facility right away. Your doctor may perform a physical exam to check if you're leaking amniotic fluid. An ultrasound may also be helpful if they want to check your amniotic volume fluid.
Once it starts flowing, the amniotic fluid will continue leaking until all 600-800 milliliters (or roughly 2 1/2-3 cups) of it empties out. In the meantime, you can wear a sanitary pad to protect your clothes or lay a clean towel underneath you to protect your seat.
Breaking the bag of waters shouldn't be any more painful than a regular vaginal exam to check your cervix. Once the amniotic sac has been broken, the labor team will continue to monitor you and your baby.
In most cases, however, an epidural will not be given until the mother is at least 3-4 centimeters dilated. Once the mother is fully dilated most doctors and hospitals will consider it too late for an epidural to be given.
During the natural process of labor, the water breaks when the baby's head puts pressure on the amniotic sac, causing it to rupture. Women will notice either a gush or a trickle of water coming out of the vagina. Many doctors say that women must give birth within 12–24 hours of the water breaking.
Getting up and moving around may help speed dilation by increasing blood flow. Walking around the room, doing simple movements in bed or chair, or even changing positions may encourage dilation. This is because the weight of the baby applies pressure to the cervix.
To advance or induce labor: Rupturing the membranes may release hormones that cause stronger contractions. Without the cushioning of amniotic fluid, your baby can move down deeper into the pelvis. This pressure on your cervix may cause further dilation.
If your cervix has opened up to at least 2-3 centimetres dilated and the baby's head is well engaged (low down in your pelvis), your waters will be broken (see below under Artifical Rupture of Membranes). If it is not possible to break your waters a second Propess pessary may be inserted if appropriate.
Once your water has broken your baby is no longer as protected from infection as he was inside the fluid-filled sac. To be on the safe side, your provider may recommend you avoid having a bath or using tampons. After your water breaks, you may still have some time to kill before active labor begins.
Can a baby live without amniotic fluid? No. A fetus needs some amniotic fluid in the uterus to survive.
A recent study reports a 90% survival rate for infants exposed to prolonged PPROM occurring between 18-24 weeks who were delivered after 24 weeks.
After your baby is born, if your membranes were ruptured for more than 18 hours, we recommend that you stay in the hospital for at least 12 hours after birth to make sure your baby shows no signs of infection.
A significant risk of PPROM is that the baby is very likely to be born within a few days of the membrane rupture. Another major risk of PROM is development of a serious infection of the placental tissues called chorioamnionitis, which can be very dangerous for mother and baby.
Usually, your waters will break during labour. You may feel a slow leak or a sudden gush of water. The fluid that is released when your waters break is usually clear or pink in colour, but sometimes it can become yellow or green due to your baby passing their first poo (meconium) inside the sac.
Sign #5: It's not sticky and thick like discharge
Amniotic fluid, on the other hand, is typically very thin and watery. Also take care not to confuse water breaking with losing your mucus plug, which is another sign of approaching labor.