Can you walk with premature rupture of membranes?

Written by Zhao Li Li
Obstetrics
Updated on September 05, 2024
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In general, if premature rupture of membranes has already occurred, it is normally necessary to rest, avoiding standing and walking. Premature rupture of membranes mainly refers to the situation where the water breaks before the onset of labor pains. This means that the membranes have ruptured and amniotic fluid may leak out at any time. Standing or walking can easily lead to continuous leakage of amniotic fluid, resulting in a reduction of the fluid or prolapse of the umbilical cord due to the leakage. If the prolapsed umbilical cord causes compressive symptoms, the fetus can quickly die within the uterine cavity. Therefore, after confirming premature rupture of membranes, it is necessary to rest in bed with the buttocks elevated and closely monitor specific fetal heart changes.

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Written by Zhang Lu
Obstetrics
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Premature rupture of membranes symptoms

Premature rupture of membranes refers to the rupture of the membranes before labor, and the symptoms of premature rupture of membranes include the following aspects: Firstly, a large amount of fluid will flow out of the vagina. Once the membranes rupture, amniotic fluid will flow out intermittently, releasing a colorless and odorless fluid, which will wet the underwear. Secondly, there may be a small amount of bleeding. When the membranes rupture, the capillaries at the edges of the membranes may bleed slightly, mixing with the amniotic fluid, resulting in some spotting or slight bleeding. Thirdly, there may be abdominal pain and the sensation of contractions. After the rupture of the membranes, this can stimulate the cervix, causing the release of inflammatory mediators from the cervix and inducing uterine contractions, leading to contractions and the sensation of abdominal pain. These are the symptoms of premature rupture of membranes.

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Written by Zhang Lu
Obstetrics
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Will premature rupture of membranes continuously cause leaking of fluid?

Premature rupture of membranes refers to the rupture of the membranes before labor, characterized by intermittent discharge of amniotic fluid from the vagina. To diagnose premature rupture of membranes, it is necessary to combine the patient's clinical symptoms with objective examinations. However, this does not mean that amniotic fluid will continuously leak after the membranes rupture. The leakage of amniotic fluid in cases of premature rupture of membranes is intermittent, primarily because many patients choose to rest in bed after the rupture. When lying flat, the amniotic fluid will not continuously leak out and may come out in spurts at times. Therefore, the belief that amniotic fluid will continuously leak following premature rupture of membranes is incorrect; intermittent leakage can also indicate a rupture. If premature rupture of membranes cannot be diagnosed based on the vaginal discharge alone, pH test strips may be used to test the fluid. If the pH test strip changes color, it can confirm the diagnosis of premature rupture of membranes.

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Written by Yue Hua
Obstetrics and Gynecology
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Can premature rupture of membranes recover?

Premature rupture of membranes cannot be reversed. This means that the patient's membranes rupture before labor begins, and the ruptured membranes cannot be restored to their original, unruptured state. When the membranes rupture, most patients will feel fluid leaking from the vagina, and the patient does not experience abdominal pain or any sensation of being about to give birth; this is referred to as premature rupture of membranes. Upon discovering this condition, the first step is to have the patient rest in bed, as this situation can easily lead to the exposure of the fetal umbilical cord, which can endanger the child's life.

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Written by Du Rui Xia
Obstetrics
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Can you still have a natural birth if the membranes rupture prematurely?

Whether a natural delivery is possible after premature rupture of membranes depends on the condition of the pregnant woman and the fetus. If the woman's pelvis is normal and there are no signs of intrauterine hypoxia in the baby, then a natural delivery can be conducted. If, during natural delivery, the baby shows signs of hypoxia or the woman's pelvic conditions are not favorable, a cesarean section should be performed promptly after the premature rupture of membranes. If delivery cannot be achieved naturally within 24 hours after the premature rupture of membranes, it is crucial to prevent infection.

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Written by Zhang Lu
Obstetrics
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How is premature rupture of membranes diagnosed?

Premature rupture of membranes refers to the rupture of the membranes before the onset of labor, followed by the leakage of amniotic fluid. It is necessary to distinguish premature rupture of membranes from increased vaginal discharge and urinary incontinence. The methods to diagnose premature rupture of membranes include the following aspects: First, symptomatically, after the rupture of membranes, a clear liquid intermittently leaks from the vagina, accompanied by mild abdominal pain or bloody show. Second, after the rupture of membranes, the liquid leaking from the vagina can be tested with pH paper, which in most cases will change color, confirming the diagnosis of premature rupture of membranes. Third, an ultrasound can be used to observe a reduction in the amount of amniotic fluid within the amniotic cavity. Fourth, the leaking fluid can be examined under a microscope to observe "fern-like" crystallization, which can also confirm the diagnosis of premature rupture of membranes.