The last stages of pregnancy are special, but they sometimes can include discharge or leaks. Here is a closer look at how your midwife may test for amniotic fluid leaks. 

Expecting a baby is an exciting and overwhelming time in someone’s life. There are so many unknowns that it can be challenging to limit stress and anxiety. Near the end of pregnancy specifically, patience runs low and unexpected things may occur where you aren’t sure what to do. One common occurrence is leaking fluids, especially as the baby nears the final days in the womb. Here, we explain how a midwife can safely and properly test for amniotic fluid leaks.

What Are PROM And PPROM?

If you are experiencing an amniotic fluid leak, it’s possible you have a condition called PROM or premature rupture of membranes. PROM can occur after 37 weeks gestation when you’re considered full term. Should you experience a leak prior to 37 weeks gestation, you may have a condition known as PPROM or preterm premature rupture of membranes.

The amniotic fluid is the protective barrier for the baby inside the womb. It provides cushion-like support once the growing baby reaches 36 to 37 weeks gestation. In many cases, a doctor may break your water artificially. Most often, when the amniotic sac ruptures on its own, it’s the first sign that labor is imminent. In the event you experience an amniotic fluid leak or preterm rupture, something else may be going on.

It’s critical you contact your care provider or midwife if you suspect leaking beyond the normal discharge or feel something is wrong.

Monitor the Discharge

Monitoring the discharge is the best way to determine if it is amniotic fluid or discharge that is normally seen during pregnancy. There are a variety of fluids that can leak as you reach full term, so monitoring is a vital step. Your overseeing doctor or midwife may ask you for this information to gather the full scope.

Place a sanitary pad in your underwear and go about your business. After 30 to 60 minutes, return to the bathroom to examine the pad. If the fluid is clear, cloudy, or stringy, it could be amniotic fluid or parts of the mucus plug. If it is yellow, it’s likely urine. Take notes on your examination and inform your care team.

Midwives Testing for Leaks

Most often, the sanitary pad method is inconclusive unless you’re a trained and educated physician or midwife. Your overseeing midwife may perform an Amnicator test, which can help detect the source of the leaks whether it is amniotic fluid, discharge, or otherwise. The results of these tests will indicate the levels of pH associated with the fluids and help your midwife determine best course of action.

A pH closer to 4.5 will indicate no to little detection of amniotic fluids, while a higher pH will signal higher levels of amniotic fluids. If your test results indicate higher levels of amniotic fluids, your midwife may suggest optimal delivery windows, a home care plan, or to wait for other signs of labor. It’s vital you and your midwife communicate transparently about risks, outcomes, and gestation periods to ensure feasible conclusions.

A midwife’s ability to test for amniotic fluid leaks depends on their access to adequate supplies. While these tests are low risk and non-invasive, it’s vital they are performed in a professional setting to establish safety and viability. Cascade Health Care carries a comprehensive line of affordable amnio-supplies suitable for medical practices, midwives, and professional obstetric use. Connect with us today to learn more!