Premature amniotic fluid drainage poses a risk to the foetus. It most commonly leads to the occurrence of preterm labour. Drainage or leakage of amniotic fluid is evidence that the continuity of the amniotic membranes has been interrupted. It is very important to differentiate between discharge of waters and urinary incontinence. Pressure from the pregnant uterus on the bladder can cause small amounts of urine to leak out, often mistaken for oozing waters. If the fluid drains in the supine position this may suggest that it is amniotic waters and not urine.

Sometimes there may be a high rupture of the bladder, in which case the waters do not suddenly drain away, but only trickle. The leakage of amniotic fluid can be detected by a doctor during a gynaecological examination. Once the leakage of amniotic fluid has been diagnosed, a number of diagnostic tests, such as the Medical US examination or the crystallisation test, are carried out to determine the further course of action. This is dependent on a number of factors, including gestational age, time since discharge, general condition of the foetus and the pregnant woman, and many other equally important factors for making the right decision.

It is most beneficial for the waters to drain just before the onset of labour on the due date. Too long a period of time after the waters have drained may result in intrauterine infection, the most common symptoms of which are fever, tachycardia and an elevated blood leukocyte count. Premature discharge of the waters can also cause prematurity, fetal hypoxia, perinatal complications, prolapse of the umbilical cord or small parts. This complication can occur as a result of inflammation of the birth canal, multiple pregnancies, ascorbic acid deficiency, fetal and uterine defects and many other causes.

If there is even the slightest suspicion that the fluid leaking from the vagina may be amniotic fluid, contact your doctor immediately. After carrying out the necessary tests, he or she will determine whether the leaking fluid is indeed amniotic fluid. The time that has elapsed since the leak is extremely important.

Medical progress allows further treatment to be as beneficial as possible for the foetus. In the case of discharge of waters, absolute hospitalisation for close observation is essential.

In the case of discharge of the waters, there is no other option than to see a doctor and be hospitalised. If you notice a vaginal discharge, it is a good idea to fold the IUD in order to determine the amount, colour and smell of the discharge. It is also a good idea to lie down and observe whether the fluid also flows in this position. This is an important indication for the doctor.

In order to reduce the risk of this complication, it is worth remembering to follow a hygienic lifestyle, limit physical exercise, have a good diet rich in vitamins and trace elements, treat inflammations of the birth canal and have regular medical check-ups.