Magnesium sulfate to protect the fetus from neurological complications such as cerebral palsy if delivery is expected within 24 hours before 32 weeks of gestation (9).Delivery to manage PROM unless there are benefits from delaying it without any risks.Tocolytic i X Procedure used to delay delivery in women having preterm contractions medicines to prevent preterm labor.Prescribes antibiotics to prevent infection.Administers corticosteroids i X Medication used to reduce inflammation and overactive immune system to speed up the maturity of the fetal lung between 24 and 34 weeks of gestation.If fluid leaks or PROM occurs before term, the next steps could be (8): If it occurs at term, it is managed with delivery unless there is an indication to wait for spontaneous labor. The treatment plan differs for a woman based on the gestational age, cause of fluid leakage, and maternal and fetal health status. Related: Is It Safe To Take Antibiotics When Pregnant? How Is Amniotic Fluid Leakage Or PROM Treated? Amniotic fluid is usually clear and odorless however, it may be concerning if it is green or mixed with blood.” If you are concerned your water broke, call your doctor immediately. It can be a continuous trickle or a few spurts of leaking at random times. Leaking amniotic fluid typically occurs randomly and feels almost like you are peeing on yourself. Stephanie Langsam, FACOG, a Wynnewood, Pennsylvania-based physician specializing in Obstetrics and Gynecology, says, “ It is hard to know that your water broke, and rarely there is a moment with a large gush of fluid. First-time mothers may find it difficult to differentiate between amniotic fluid, mucus plug, urine, and vaginal discharge. A small hole in the amniotic sac, it may lead to a slow fluid leak, which feels like the trickle of fluid down to the vagina. This is also known as a water break, and it usually happens when you enter labor. Signs And Symptoms Of Amniotic Fluid LeakĪmniotic fluid comes out in a gush when the membrane ruptures.
Hence, you should detect a possible amniotic fluid leak and seek medical help. Leakage could result in too little of the amniotic fluid in the sac, which could be problematic. The fluid level declines by around 125ml a week at 38 weeks of gestation and decreases to around 800ml by the 40th week. Around 400-1200ml between 34 and 38 weeks.
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