PREGNANCY-BIRTH Messages for January, 2002: Re: Amniotic Fluid Possible Leak

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Re: Amniotic Fluid Possible Leak

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 3 Jan 2002 21:18:19 -0600 (CST)

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In reply to: Kat: "Amniotic Fluid Possible Leak"

At Thu, 3 Jan 2002, Kat wrote: >
>Hi- I am 41 weeks pregnant and at night, experience a LOT of fluid
>leakage. I limit my fluid intake in the evening, and I get up to use
>the restroom at least 3 times. I am careful to wipe thoroughly and am
>reasonably certain that I am not peeing on myself! I do not experience
>this amount of leakage during the day (when I am upright).
>I told the doc and he did the litmus paper yesterday which came up
>positive for amniotic fluid (blue). He then took some fluid and put it
>on a slide and was "unsure" of the results. He sent me to L&D where
>they had me in a semi-recline and took a slide again which doc
>determined was negative. Had much fluid again last night and they
>wanted me to come back in today, tested w/litmus again and was pos.
>again, slide again was taken and doc said "there might be a spot of it
>there". So they tested another slide and determined negative again.
>I understand that amniotic fluid "ferns" under a microscope. How can
>they be unsure of whether it is ferned or not in conjunction with
>positive litmus strips? They did check the fluid levels by ultrasound
>and it was 12 yesterday, which I understand is fine.
>Should I believe that I really am leaking fluid, but only while prone or
>should I believe the doctors that I am not? What else turns the litmus
>paper blue?

Anything with a pH above 7.

Am I peeing on myself while I'm laying down? How would you >handle this? Thanks for your insight.

I induce all women who have reached 41 weeks whether leaking or not. I induce all women with a question of ruptured(leaking) membranes who are at least 38 weeks. At 28 weeks with positive Nitrazine (Litmus)test and neg fern, I would not induce and probably would not admit to hospital. With Pos. Nitrazine and Fern at 28 weeks admission to hospital until delivery whenever that may be.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Cervix on Left Side"
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In reply to: Kat: "Amniotic Fluid Possible Leak"

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