HELP! Water broke and no labor - Mothering Forums

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#1 of 14 Old 02-22-2006, 05:04 AM - Thread Starter
 
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This is my second pregancy and the first one started with my water breaking and ctx not starting on their own. I "had" to be induced the rest of the way. Now, at the time, I didn't care so much b/c I wanted the epidural, so it wasn't a problem. I see now that I am lucky everything went so smoothly with the epidural and pitocin.
This time I really want a natural childbirth.
I am 40 weeks 1 day and have a MW appt. this morning at 9:30am. I am having a hospital birth and I know they will force or encourage me to go to the hospital and deliver within 24 hours. I am tempted to not say anything, but, I know my dh will tell on me. By the time I get to the MWs office, I will have had broken waters for 14 hours.
UNLESS, it wasn't my water breaking, but, what else could a gush of clear fluid be?
WHY is my body like this? Is it because I gained too much weight during pregnancy? 75# with dd1 and 50# this time.

And I can't sleep at all, so whatever happens tomorrow, I am going to be in a pissy mood.

edited to clarify something

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#2 of 14 Old 02-22-2006, 06:44 AM
 
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Goodness, no, it's not your weight gain. The same thing happened to me with my son, but I wasn't as smart as you and I thought I could tell the doc and then have them send me home to wait for labor to begin.

I was soooo naive. They gave me twelve hours to go into labor and then cranked up the pitocin.

Don't tell! Leave the husband at home and lie your butt off! It's for a good cause, right?
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#3 of 14 Old 02-22-2006, 07:06 AM
 
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if you feel comfortable you should keep it to yourself IMO.
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#4 of 14 Old 02-22-2006, 07:52 AM
 
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Why bother going in at all? Just wait at home in safety until you are in strong labour and then no one will want to induce you, ok? There's nothing wrong with your body but there's a lot wrong with hospitals. You're perfectly safe, in fact more so in your own germs without VEs!

A hindwater leak occurs when only a small amount of fluid is released. There can be many reasons for this occurring rather than a full ROM.



http://www.gentlebirth.org/archives/prom.html


Quote:


Obviously, the risk of infection will be higher when there is a large opening in the amniotic sac directly over the cervix, and the risk of infection will be almost negligible when the fluid is leaking from a high leak in the hindwaters. Bacteria would have to be awfully clever to find their way against a tide of outflowing fluid to find a small opening high in the amniotic sac.

Some ways to tell that the fluid is coming from a high leak in the hindwaters:

Belly still feels full of fluid, and baby's body isn't clearly outlined in the belly
Without touching the cervix, do a vaginal exam with sterile gloves to palpate the lower uterine segment directly inside the vagina. If the baby is easily ballotable, meaning it kind of floats up a bit, then there's still fluid in the belly, and the leak isn't over the cervix.






Also:

Quote:
There are two layers of membranes - the outer sac (the chorion), and the inner sac (the amnion); it is possible for the outer sac to break while the inner sac remains intact; this can still release some fluid that might have accumulated between the layers. This would tend to be a small amount of fluid, and generally there is not a continuing trickle.
It is possible for baby to poke a hole through the membranes at some point. Then, as fluid is released, the sac may double over on itself at that point and, like Glad Wrap, stick to itself, forming a seal over the leak. Again, this would tend to be a small amount of fluid, and generally there is not a continuing trickle.






There is no inherent benefit either way. Some women find drippy labours irritating after ROM, some women’s membranes do not rupture until crowning, some never do and the baby is born “in the caul”. If you’re birthing in a hospital, regardless of how much fluid has left the building, stay home until contractions are strong and close together or you’ll be on a timetable and pressured to induce. You will be told that you are at risk of infection.



NICE guidelines from the UK state that women can go up to 96 hours without being induced. The likelihood of infection is significantly reduced if you put nothing in your vagina (this includes VEs which are a major way germs are spread) and stay home in your own friendly germ environment as long as possible.



http://www.radmid.demon.co.uk/prom.htm

5.5 Induction of Labour in the presence of Prelabour Rupture of the Membranes (page 2

5.5.1 ....Epidemiological data on time interval from term PROM to spontaneous labour demonstrates that most women go into spontaneous labour within 24 hours of rupturing their membranes.

86% of women will labour within 12-23 hours
91% will labour within 24-47 hours
94% will labour within 48-95 hours
6% of women will not be in spontaneous labour witthin 96 hours of PROM.

USA Midwife Archives page on Prelabour Rupture Of Membranes:
www.gentlebirth.org/archives/prom.html

NICE/RCOG guidelines on induction of labour (short form)
(www.nice.org.uk/article.asp?a=17321)

NICE/ RCOG evidence- based full clinical guideline on induction of labour
(http://www.nice.org.uk/pdf/inductio...ourrcogrep.pdf)

Premature Rupture of Membranes (PROM) By Elizabeth Bruce, on the Compleat Mother site. Discusses both prelabour and preterm rupture of membranes.
www.compleatmother.com/prom.htm

Preterm Prelabour Rupture of Membranes, from the Dartmouth Hitchcock Medical Center - Straightforward factsheet.
http://www.dartmouth.edu/~obgyn/mfm/...term_PROM.html

PROM guidelines from MoonDragon Midwifery Practice
http://www.geocities.com/HotSprings/...86/varia2.html

Midwifery Today e-news on premature (ie prelabour) rupture of membranes
www.midwiferytoday.com/enews/enews2n46.asp

http://www.empoweredchildbirth.com/a...turelabor.html
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#5 of 14 Old 02-22-2006, 07:52 AM
 
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Note this bit particularly:

5.5.1 ....Epidemiological data on time interval from term PROM to spontaneous labour demonstrates that most women go into spontaneous labour within 24 hours of rupturing their membranes.

86% of women will labour within 12-23 hours
91% will labour within 24-47 hours
94% will labour within 48-95 hours
6% of women will not be in spontaneous labour witthin 96 hours of PROM
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#6 of 14 Old 02-22-2006, 09:50 AM - Thread Starter
 
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thanks for the responses.
it's now 7:45am and I feel fine.

It was a small amount of fluid, but, I do feel like there were teeny, tiny gushes since then. Not the same amount as when my water broke with dd #1.
Now, the other problem with the pitocin and epidural (I do not expect myself to be able to go natural with the pit...) is that I saw a photo on here of an epi and I am totally skeeved out by it.
And you know, I know stuff happens and that it may have not went the way I planned, but, WHY must it be the same thing as last time.

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#7 of 14 Old 02-22-2006, 11:09 AM
 
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Liora. Best way to reach me is FACEBOOK, search for "LioraP2". Jewish and Frum In Beijing, Mom of Three (mother of 3: #1 was vaccine injured at age 2m later dx with PDD-NOS, healed in 3 years with biomed. #2 unvaxed and healthy boy. #3 unvaxed amazing girl with Down syndrome using Targeted Nutritional Intervention (TNI) since infancy)
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#8 of 14 Old 02-22-2006, 01:33 PM - Thread Starter
 
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I had a MW appt this morning and we mentioned that my water might had broken, she did an internal and checked to see if my water had broken and she determined that it could have but she didn't see any evidence. She did say to start the black and blue cohosh, since I am 1cm and my cervix is no where near ripe, it is very high still. If the black and blue cohosh does not work I will go in tonight to get Cervadil. She was concerned b.c she estimates baby to be ~10 pounds.

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#9 of 14 Old 02-22-2006, 03:02 PM
 
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Now that you've had an internal exam, you are committed to birthing as soon as possible since the internal puts you and baby at risk for infection.

If you do this again, refuse the internal exam, stay home, don't go out, don't put anything in your vagina - until you are ready to go to the hospital (whether labor is that far progressed or you want to be induced).

Homeschooling mama to 6 year old DD.

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#10 of 14 Old 02-22-2006, 03:22 PM - Thread Starter
 
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Um, actually, I am not committed to delivering as soon as possible... My MW did not see any signs that my water had broken. She did seem concerned that there was no progress with dilation/or cervix change in over a month and that the baby was getting to be huge.
So, I can go to the hospital tonight for the Cervadil, but, I feel like that would not be to induced, rather, to make something happen with my cervix- so that in a few days something will happen.

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#11 of 14 Old 02-22-2006, 03:29 PM - Thread Starter
 
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and I am screwed...the cohosh is making me vomit

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#12 of 14 Old 02-22-2006, 04:47 PM
 
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I would try a whole lot of (not to be gross) semen before Cervadil. It will naturally soften your cervix.
I'm so sorry this is happening, it must be really scary and from the sounds of it, dissappointing. Just do the best you can with the situation at hand, that's all any of us can do. Vomitting may be a good thing, it can get things moving along, although it is very unpleasant. A
lso, don't stress about the size of the baby. I'm surprised your mw would be concerned. 10 pounds isn't huge. I have a friend who is a very dainty women, under 5 feet tall. She naturally delivered 2 boys over 11 pounds each. True cephalopelvic disproportion is very very rare, we are built to have big healthy babies!

Holly, eternally in love partners.gif with Kolby, Raising Juelie Anise (10y), Behnjamin Shen (6y), and Coen Syaoran (4y). Expecting June 2013 2ndtri.gif

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#13 of 14 Old 02-22-2006, 09:45 PM
 
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If you read what I posted, it clearly shows the evidence that YOU WILL LABOUR on your own. Leaving the house, feeling stressed and all that is only going to hold labour off for you. If you are committed to a normal, physiological birth then don't get induced. Simple. It's not a matter of being prepared "in case something happens" it's a matter of refusing unnecessary interventions which CAUSE those things to happen. Your body works, trust me. You achieved the pregnancy, you grew the baby, you can birth the baby without all the stuff. Really you can So just stay home, take it easy and wait for labour. A small amount of fluid (like my OP says) is a hindwater leak and can reseal. You may not be ready to labour for several days and your baby isn't going to get "too big". However, if you DO have a nicely sized baby in there and you get induced, once you have an epidural in place it's asking for trouble as your pelvis will be squashed. And if your baby isn't ready to come, the induction will only cause you problems.

Let your body do it's job. Spend some time being quiet and calm, and let nature do what she does best.
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#14 of 14 Old 02-23-2006, 02:18 AM
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I do not expect myself to be able to go natural with the pit...

Don't doubt yourself. If you do end up with Pit (God forbid) it is totally possible to do it without an epidural. I made it to 8 cm laying flat on my back with no ambiotic fluid, twins beating each other up in my uterus, and the Pit cranked up before I caved--it took about 12 hours. I could have gone longer but the jerk told me I was only dilated to 5 cm and I didn't think I could handle it anymore--if I'd known I was almost there I would've hung on. Yeah, it hurt like Hell but it could've been a lot worse.
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