Can fluid leakage during pregnancy be a cause of concern?

Question

Hello doctor,

I am feeling concerned as I suspect I may have a urinary tract infection, and I am unsure about the significance of my elevated blood counts. I have received the reports for both my urine and blood tests and would appreciate the advice of a specialist. It is important to note that I am currently 37 weeks pregnant. At 30 weeks gestation, I began experiencing leakage of amniotic fluid. My doctor prescribed vaginal suppositories (Clindamycin and Clotrimazole) to be inserted for three days, and that was the extent of the treatment. Presently, I am uncertain whether the fluid leakage is due to my amniotic sac or if it is urinary incontinence. Furthermore, I am confused about the medications prescribed by my doctor after reviewing the reports: Tablet Cefixime 200mg twice daily for seven days and syrup Disodium hydrogen citrate two teaspoonfuls twice daily for seven days. Additionally, I am taking Iron, Calcium, Vitamin B12, and Vitamin C supplements.

I would greatly appreciate a specialist's review of the reports and explanations regarding their implications, as well as any necessary precautions I should take.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Please understand that leaking during the early stages may indicate premature rupture of membranes, which can occur with or without a known rupture of the amniotic sac. You can use a sanitary pad to monitor the amount of leakage based on soakage. Additionally, by assessing the water level through sonography, you can confirm whether there is a leak. Leaking becomes concerning when accompanied by fever, foul-smelling discharge, or pain and contractions. However, if you do not have any of these symptoms, and considering the normal total leucocyte count in the reports, it suggests there is no infection. A minor infection was noted in the urine culture report, which is why you have been prescribed an alkalizer.

Let me know if you have any other doubts. I hope I was able to resolve your query.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

You can maintain vaginal cleanliness by keeping it dry and changing sanitary pads or liners regularly. Avoid using medicated washes; instead, opt for a simple splash of water at a normal temperature for cleansing.

I hope this information helps you.

Thank you.