![]() If it isn’t, the fluid could be amniotic fluid.Īnother option is to put on a pad or panty liner and concentrate on holding your pelvic floor muscles tight, as if you are trying to stop your urine stream. If the fluid is yellow in color, it’s likely urine. Place a sanitary pad or panty liner in your underwear and examine the fluid that is on the pad after 30 minutes to an hour. Vaginal fluid is usually white or yellow in color.Īnother way you can try to determine if the fluid is amniotic fluid is to first empty your bladder. clear, white-flecked, and/or tinged with mucus or blood.So it can be difficult to determine if fluid is urine, amniotic fluid, or vaginal fluid.Īmniotic fluid may have a few of the following qualities: Your vaginal tissues also may produce extra fluid to help your baby pass more easily. When you’re pregnant, you may feel like everything leaks: Your bladder becomes fuller faster, and you may leak urine. This can result in a slow leak of amniotic fluid. While it’s possible to break the water balloon, causing a strong gush of fluid (known as your water breaking), it’s also possible that a small hole could develop in the sac. Middle cerebral artery Doppler velocimetry should be considered an investigational approach to antepartum fetal surveillance.Think of your amniotic sac like a water balloon. If used in this setting, decisions regarding timing of delivery should be made using a combination of information from the Doppler ultrasonography and other tests of fetal well-being, along with careful monitoring of maternal status. ![]() Umbilical artery Doppler velocimetry seems to benefit only pregnancies complicated by intrauterine growth restriction. Recent, normal antepartum fetal test results should not preclude the use of intrapartum fetal monitoring. If repetitive late decelerations are observed, cesarean delivery generally is indicated. In the absence of obstetric contraindications, delivery of the fetus with an abnormal test result often may be attempted by induction of labor with continuous monitoring of the fetal heart rate and contractions. Oligohydramnios, defined as no ultrasonographically measurable vertical pocket of amniotic fluid greater than 2 cm or an amniotic fluid index of 5 cm or less, requires (depending on the degree of oligohydramnios, the gestational age and the maternal clinical condition) delivery, or close maternal or fetal surveillance. Subsequent management should then be predicated on the results of the contraction stress test or biophysical profile, the gestational age, the degree of oligohydramnios (if assessed) and the maternal condition. ![]() ![]() Any significant deterioration in fetal activity requires fetal reevaluation, regardless of the amount of time that has elapsed since the last test.Īn abnormal nonstress test or modified biophysical profile usually should be further evaluated by a contraction stress test or a full biophysical profile. When the clinical condition that prompted testing persists, a reassuring test should be repeated weekly or, depending on the test used and the presence of certain high-risk conditions, twice weekly until delivery. In pregnancies with multiple or particularly worrisome high-risk conditions, testing may be initiated as early as 26 to 28 weeks of gestation. Initiation of testing at 32 to 34 weeks of gestation is appropriate for most pregnancies that are at increased risk of stillbirth. Women at high risk for stillbirth should undergo antepartum fetal surveillance using the nonstress test, contraction stress test, biophysical profile or modified biophysical profile.
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