Having your water broken? - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 10 Old 04-13-2011, 12:05 PM - Thread Starter
 
Snowflake777's Avatar
 
Join Date: Jan 2011
Posts: 616
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I had my water broken last time (I can't remember when, exactly, but it was in the final stretch of labour) and didn't really think anything of it.

 

If it should happen again, is there any reason I should refuse it? Can anyone tell me what the risks/benefits are?


Mama to a preschooler and a baby.

Snowflake777 is offline  
#2 of 10 Old 04-14-2011, 06:03 AM
 
Comtessa's Avatar
 
Join Date: Sep 2008
Location: Cleveland, OH
Posts: 1,146
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Some good reasons to refuse having your water broken would be:

  • it removes the "cushion" around the baby which can (depending on stage of labor) a) make contractions feel a LOT stronger and more painful, and b) settle baby into an unfavorable position that might be harder for her/him to get out of without the extra room generated by the amniotic fluid;
  • if baby is floating high in the pelvis, there is a risk of cord prolapse from AROM, which means an immediate emergency C-section;
  • once your membranes are ruptured, you are "on the clock" to get the baby out -- usually 24 hours -- which means that everyone's anxiety about "hurrying your labor" gets suddenly much higher and the pressure to deliver quickly is more intense. 

 

All of that being said, however, AROM isn't always bad.  If it's fairly late in labor, baby is in a good position and well-engaged in the pelvis, then the risk factors are much lower.  It can shorten labor by an average of 40 minutes (I don't remember where I read that, but I'm fairly certain that's the right number).  And if your labor progress is slow, it's one of the least invasive interventions that they can try to speed it up.  IMO, it makes sense to try AROM first, if there's concern that your labor isn't moving quickly enough (i.e., you're running out of steam and getting dehydrated, or something like that), and the next thing they would suggest is a major intervention. 

 

My HB MW broke my water when I was at 10 cm and trying to push, but was so tired that the contractions weren't strong enough to help me get the baby out.  AROM was the last-ditch effort to get the baby out at home before we transferred to the hospital. 

 

On the other hand, if you and baby are handling labor just fine, if there's no problem with labor progress, and all is well, then there's no reason to break your water.  Sometimes they just do it 'cause it's what they do, KWIM?  It puts one more thing under the control of the HCP and out of the control of nature (they hate it when your water breaks unpredictably).  So if there's good reason to do it and the risks are low, IMO it's not a big deal, but if there's no reason to intervene, like with most things in birth, better to leave well enough alone.


I'm traveling the world with my kids without ever leaving home and blogging about it -- watch, taste, and share our adventures at TheGlobalStayCation.com!
Comtessa is offline  
#3 of 10 Old 04-14-2011, 09:04 AM - Thread Starter
 
Snowflake777's Avatar
 
Join Date: Jan 2011
Posts: 616
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Wonderful answer, thank you so much for taking the time to explain Comtessa! orngbiggrin.gif


Mama to a preschooler and a baby.

Snowflake777 is offline  
#4 of 10 Old 04-14-2011, 09:41 AM
 
AFWife's Avatar
 
Join Date: Aug 2008
Location: Texas
Posts: 5,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

My HB MW broke my water...but my sac was crazy thick (like, she could grab at it and FEEL it through the gloves...it took several tries to actually break it) I was 9.5cm with the bag bulging down through my cervix. I'd been in labor something like 18 hours. (It was easy until the final 2 though) She said, "We can keep going like this and have a baby in a few hours or we can break your water and have a baby right now. It's your choice, I'm good either way." I said, "Do it" and had a baby 20mins later.


 


Kas (24), Helpmeet to Stefan (25), Mom to Franklin Gaudelio 4/15/09, Jonathan Boswell 1/2/11
AFWife is offline  
#5 of 10 Old 04-14-2011, 11:04 AM
 
msmiranda's Avatar
 
Join Date: Apr 2009
Location: Virginia
Posts: 419
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by AFWife View Post

My HB MW broke my water...but my sac was crazy thick (like, she could grab at it and FEEL it through the gloves...it took several tries to actually break it) I was 9.5cm with the bag bulging down through my cervix. I'd been in labor something like 18 hours. (It was easy until the final 2 though) She said, "We can keep going like this and have a baby in a few hours or we can break your water and have a baby right now. It's your choice, I'm good either way." I said, "Do it" and had a baby 20mins later.


 

I had something similar happen to me during my first birth -- my water hadn't broken and it was impeding the process of pushing him out.  The midwives knew I was nearing the end of my rope physically and mentally and wanted to get him out ASAP, so I had no problem with them breaking it, although they didn't get a chance because just as she was reaching for the hook thing, it broke spontaneously and drenched her scrubs! :)

 

So for me, I would be okay with it during pushing or perhaps as a last-ditch attempt to help pick up a labor stalled at 8-10cm, but probably not any earlier than that, for the reasons Comtessa stated above.
 

 


SAHM to Bird (6/07) and Bear (7/09), and now enjoying our newest additionbabyboy.gif, born June 1, 2011!  bfinfant.giffamilybed1.gifsigncirc1.gifcd.gif

msmiranda is offline  
#6 of 10 Old 04-14-2011, 12:38 PM
 
AFWife's Avatar
 
Join Date: Aug 2008
Location: Texas
Posts: 5,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by msmiranda View Post



I had something similar happen to me during my first birth -- my water hadn't broken and it was impeding the process of pushing him out.  The midwives knew I was nearing the end of my rope physically and mentally and wanted to get him out ASAP, so I had no problem with them breaking it, although they didn't get a chance because just as she was reaching for the hook thing, it broke spontaneously and drenched her scrubs! :)

 

So for me, I would be okay with it during pushing or perhaps as a last-ditch attempt to help pick up a labor stalled at 8-10cm, but probably not any earlier than that, for the reasons Comtessa stated above.
 

 


I also appreciated being given a CHOICE (read: control) in the situation. My MIL has said more than once about her second birth how they "had to" break her water because it hadn't broken on its own...

 


Kas (24), Helpmeet to Stefan (25), Mom to Franklin Gaudelio 4/15/09, Jonathan Boswell 1/2/11
AFWife is offline  
#7 of 10 Old 04-14-2011, 12:41 PM
 
goldenwillow's Avatar
 
Join Date: Jan 2010
Location: In the trees
Posts: 1,128
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)


Quote:
Originally Posted by Comtessa View Post

On the other hand, if you and baby are handling labor just fine, if there's no problem with labor progress, and all is well, then there's no reason to break your water.  Sometimes they just do it 'cause it's what they do, KWIM?  It puts one more thing under the control of the HCP and out of the control of nature (they hate it when your water breaks unpredictably).  So if there's good reason to do it and the risks are low, IMO it's not a big deal, but if there's no reason to intervene, like with most things in birth, better to leave well enough alone.


All well said. 

 

My water didn't break until I was just about ready to push.  It actually freaked me out.  Then it was really on and DS came about 20 mins later.

 

 

 


'09   
goldenwillow is offline  
#8 of 10 Old 04-14-2011, 02:19 PM
 
Jaimee's Avatar
 
Join Date: Jun 2007
Location: Seattle, Tucson, Austin, Baltimore. Now: Urbana, IL
Posts: 7,473
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I was at a FSBC with my first and was told I could have my water broken to check for meconium or I could transfer to the hospital for monitoring b/c the baby's heart rate was a little too high.  Obviously, I chose to have my water broken and of course there was no meconium at all.  But after that the contractions came on hard and fast and they were extremely difficult to integrate.  I had been laboring nicely, comfortably and was already at 8cm.  But after breaking my water I started to lose my focus and my body started to get out of my control.  In hindsight, I was furious that my water "had" to be broken in order to avoid the hospital and it is one of the key reasons I opted for a home birth with my second.

 

Now, if I were in a situation where I was exhausted and needed to get things moving along, I would definitely chose having my water broken over pitocin or an epi.  Otherwise, I would leave my water intact as long as possible.  I actually just had a friend birth her son in the caul!  Pretty amazing!


Mama to Avalon 1/07 waterbirth.jpg, Austin 1/10 in between uc.jpgand Avery 12/11  h20homebirth.gif
fambedsingle1.gif   femalesling.GIF   winner.jpg   cd.gif     ecbaby2.gif  novaxnocirc.gif   goorganic.jpg  

Jaimee is offline  
#9 of 10 Old 04-17-2011, 02:35 PM - Thread Starter
 
Snowflake777's Avatar
 
Join Date: Jan 2011
Posts: 616
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Thank you all for the responses.

 

I have no regrets having my water broken with DD - labor was progressing slowly and I was beyond exhausted (I'd been in labor for 24 hours, and awake for 36+ hours when DD was born), and it did speed things up. I wasn't pressured into it, my midwife asked if I wanted to. Still, it's good to be informed about the pros & cons this time around.


Mama to a preschooler and a baby.

Snowflake777 is offline  
#10 of 10 Old 04-19-2011, 10:35 AM
 
*MamaJen*'s Avatar
 
Join Date: Apr 2007
Location: Austin, TX
Posts: 5,357
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

You've gotten some good responses already, but in general, I think the key thing to remember is that AROM is an intervention, and all interventions have possible risks and benefits. If AROM is used judiciously, it can be a good thing; if it's used routinely, it's probably a bad thing.


Jen, journalist, policy wonk, and formerly a proud single mama to my sweet little man Cyrus, born at home Dec. 2007 . Now married to my Incredibly Nice Guy and new mama to baby Arthur.
*MamaJen* is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off