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Causes and ways to treat amniotic fluid rupture before giving birth

Written By Hanny & Melissa on Friday, April 26, 2019 | Friday, April 26, 2019

Amniotic fluid is the fluid in the bag that surrounds the fetus in the womb. Under normal conditions, this amniotic bag will rupture just before labor occurs. However, there are times when the membranes break faster than they should.

Normally, rupture of the membranes occurs before labor, ie when the pregnancy reaches the age of 38-40 weeks. However, sometimes the membranes have ruptured prematurely. This condition is called premature rupture of the membranes, and can endanger the condition of the mother and baby.

A pregnant woman is said to experience premature rupture of the membranes if:

1. The fluid has seeped before pregnancy reaches 37 weeks of age. The earlier the membranes rupture, the more dangerous it is for the mother and baby.

2. The membranes rupture when the gestational age is nearing the estimated day of birth, but labor does not occur within 24 hours thereafter.

Causes of Early Rupture of Amniotic fluid

The exact cause of ruptured amniotic fluid is not clearly known, but this condition is thought to arise because of the weakening of the amniotic sac or the presence of excessive pressure around the membranes, for example due to uterine contractions.

In addition, there are several factors that can increase the risk of premature rupture of membranes, namely:

1. There is an infection of the urinary tract, uterus, cervix, or vagina.

2. Too much amniotic fluid (Polyhydramnios) or twin pregnancy, causing the uterus and amniotic sac to stretch too much.

3. Pregnant women with low body weight or underweight.

4. Smoking habits during pregnancy.

5. Have had a biopsy or surgery on the cervix (Cervix).

6. Have experienced premature rupture of membranes before.

7. Suffering from sexually transmitted diseases during pregnancy.

8. Have experienced bleeding during pregnancy.

Handling of Early Rupture of Amniotic fluid...

The management of premature rupture of the membranes will usually be adjusted to the age of the pregnancy, the condition of the fetus in the womb, and the health condition of the mother. The following are some of the treatments that a doctor will take based on when the occurrence of premature rupture of the membranes:

1. Pregnancy more than 37 weeks

If premature rupture of the membranes occurs when the pregnancy has passed 37 weeks, the fetus in the womb needs to be born soon. The longer the labor process is carried out, the greater the chances of pregnant women and fetuses getting infected.

2. Pregnancy age 34-37 weeks

Your doctor will probably suggest induction of labor so the baby is born a few weeks early. This is done to avoid babies getting infected.

3. Pregnancy age 23-34 weeks

Usually the doctor will suggest delaying the birth so that the fetus in the womb has enough time to grow and develop. Pregnant women will be given antibiotics to prevent infection, and corticosteroids to accelerate fetal lung development.

4. Gestational age less than 23 weeks

If the membranes rupture before the womb is 23 weeks old, the doctor needs to evaluate the condition of the mother and fetus to determine whether a high-risk pregnancy is to be maintained.

In premature rupture of the membranes at a very young gestational age, the doctor may give medication to relax the uterus and additional amniotic fluid (Amnioinfusion).

For pregnant women who are at risk of developing premature rupture of the membranes as mentioned above, it is recommended to routinely undergo a pregnancy examination and consult an obstetrician, so that early ruptured membranes can be avoided.

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