PREGNANCY
It Is On! What to Expect When Your Water Breaks
Here is what to expect when the bag breaks (or does not) and what to do next.
Written by
Dr. Harvey Karp
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PREGNANCY
Written by
Dr. Harvey Karp
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We have all seen it in the movies: Our very pregnant heroine suddenly drowns her designer shoes in a flood of amniotic fluid, and 12-hours later, out pops a baby! In reality, your water breaking may or may not be so dramatic and may or may not be an immediate sign of labour. Here is what to expect when your water breaks (or does not) and what to do next.
First, allow me to define what we mean by “water”. About 12 days after conception, an amniotic sac forms inside your uterus to hold your growing baby. The amniotic fluid is very important as it offers cushioning protection, holds a steady temperature around the baby, and provides nutrients and antibodies. That is some impressive “water”!
When your baby is nearly ready to be born, the membranes of the amniotic sac will release the fluid, called ROM, or rupture of membranes. It can range from imperceptible dribbles to a flood like a popped water balloon.
Though your water might break before your contractions begin (like in the movies), that only happens in about 15% of pregnancies. When rupture of membranes occurs, labour usually begins within 12 to 24 hours. If regular uterine contractions have not begun 24 hours after your water breaks, your practitioner will say you had PROM, or premature rupture of membranes. They will likely recommend inducing labour to avoid the risk of infection traveling up into your uterus and hurting your baby.
Many are surprised to learn that it is much more likely for the water to break AFTER labour begins. In fact, it is often the squeezing force of the contractions that pops the membranes. So, if you are worried about your water breaking suddenly when you are out on the street, you can rest assured that most get advanced warning in the form of strong contractions.
Sometimes, water breaks while you are sleeping. If you are concerned about flooding the bed, consider protecting your mattress with a waterproof cover.
Did my water just break?! When the amniotic fluid passes through the cervix and vagina, there may be noticeable wetness, but it could be anywhere from a trickle to a gush. Sometimes it is hard to tell whether your water is breaking or if you are simply leaking urine, vaginal discharge, or mucus (which are all not-so-glamorous side effects of pregnancy!). One way to tell is to stand up. If the flow of liquid increases when you stand, it is probably your water breaking.
Another way to tell if your water broke is to observe the look and smell of the fluid. If it is clear, pale yellow, or tinged with blood and smells slightly sweet, that is amniotic fluid. Urine tends to be darker yellow and smells like ammonia. Your provider will not be able to diagnose water breaking over the phone but would be able to tell by testing the fluid, if needed.
Call your healthcare provider. It may be time to hustle to your birthing center or hospital. However, if you are not yet having closely spaced contractions, your provider may suggest waiting a while longer at home. Some doctors allow women to shower after the bag of water has broken, but definitely not taking a bath. The fear is that while bathing in your tub, some bacteria may make their way up into the uterus and cause infection. (Although, it is okay to labour in water once you are at the hospital or birth center.)
Sometimes water does not break on its own! In that case, your healthcare provider may perform an amniotomy, also known as an AROM, or artificial rupture of membranes. During this procedure, a thin plastic hook is inserted through the cervix to pop the bag of water. This sounds scarier than it is, and many do not even feel it, especially if they are already in active labour.
Whether or not your water breaking is the cinematic moment the movies made you think it would be, it is the exciting start to a great story…your parenthood journey!
Disclaimer: The information on our site is NOT medical advice for any specific person or condition. It is only meant as general information. If you have any medical questions and concerns about your child or yourself, please contact your health provider. Breastmilk is the best source of nutrition for babies. It is important that, in preparation for and during breastfeeding, mothers eat a healthy, balanced diet. Combined breast- and bottle-feeding in the first weeks of life may reduce the supply of a mother's breastmilk and reversing the decision not to breastfeed is difficult. If you do decide to use infant formula, you should follow instructions carefully.
