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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Feeling Of Gushing Liquid In 27th Month Be Preterm Labor?

I m currently 27 weeks pregnant. I was laying on my back with my feet elevated when I suddenly felt a gush of fluid coming out after sneezing/blowing my nose. As it was not just a leak it was gush I would assume around a cup of fluid came out. I quickly contacted my OB to see what I should do and he said that most likely it was my urine not my amniotic fluid as long as it does not continue leaking. After the incident, I have not felt anything leaking but is it common for that much urine to come out involuntary? This is my 2nd pregnancy and it felt just like when my water broke with my 1st at 39wks... I m just concerned about going to preterm labor.
Wed, 21 Oct 2015
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OBGYN,  's  Response
Hello dear,I understand your concern.In my opinion yes there is a possibility for urine to leak out when abdominal pressure is increased in cases such as coughing,sneezing etc.This is called stress incontinence and it is routinely seen in pregnancy.If there was a rupture of sac there would be continuous leak followed by a gush of leak.Anyway a vaginal examination and less liquor on ultrasound help in ruling out amniotic liquor leak.But ad per your history it appears to be urine.Keep a pad and check for any leak.And also observe fetal movements.Avoid physical strain and take rest.
Best regards...Dr.Srilatha
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Could Feeling Of Gushing Liquid In 27th Month Be Preterm Labor?

Hello dear,I understand your concern.In my opinion yes there is a possibility for urine to leak out when abdominal pressure is increased in cases such as coughing,sneezing etc.This is called stress incontinence and it is routinely seen in pregnancy.If there was a rupture of sac there would be continuous leak followed by a gush of leak.Anyway a vaginal examination and less liquor on ultrasound help in ruling out amniotic liquor leak.But ad per your history it appears to be urine.Keep a pad and check for any leak.And also observe fetal movements.Avoid physical strain and take rest. Best regards...Dr.Srilatha