Amniotic fluid leak test


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What does the Amniotic fluid leak test do?

With advancing gestational age there is a greater chance of fluid loss, especially after the 36th week of pregnancy (during a healthy pregnancy). The pregnant woman feels wetness, which can be caused by a combination of the following points:

  • Spontaneous membrane rupture (SROM), in which amniotic fluid escapes from the vagina;
  • urinary incontinence
  • In addition, the outflow during pregnancy increases enormously.


AMNIOCHECK is the only self-test available that can test whether the fluid loss during pregnancy is amniotic fluid or urine. This unique detector strip is located in a panty liner, making it comfortable and easy to use. The AMNIOCHECK continuously monitors and responds to each (100 μl, microliter) leak. It was designed to detect small leaks of amniotic fluid and distinguish it by determining the pH of urine and vaginal discharge.


For whom is the amniotic fluid leak test suitable?

  • Pregnant women at home:

Women with normal pregnancies who have unexposed outflows, high-risk premature babies, premature rupture or membranes (pPROM), premature membrane rupture before 37 weeks, or premature rupture of the membranes (PROM) before 37 weeks.

  • Gynecologists or obstetricians:

for the screening or detection of amniotic fluid leakage, especially in the case of non-continuous leakage.

Available for private and professional use


How does the amniotic fluid leak test work?

The AMNIOCHECK test can detect the liquid by testing the pH (acidity) and the ammonia content and distinguishing it from urine. The lining of the panty liner has a polymer-embedded strip in the middle that changes from yellow to blue and / or green when in contact with a liquid having a pH equal to or higher than 6.5. This is because amniotic fluid has an acidity greater than 6.5, so its presence causes this color change to occur. Even tiny amounts of amniotic fluid loss cause a visible blue and / or green spot. A blue discoloration means a positive result and you lose amniotic fluid.

Many women are worried when they discover wet spots in their underwear during pregnancy. Is it a secretion, urine or amniotic fluid? The distinction is not always easy.


Increased discharge during pregnancy is normal

During pregnancy, the female sex hormones estrogen and progesterone are increasingly formed. These hormonal changes can lead to increased vaginal discharge during pregnancy. This is normal and no cause for concern, provided that the separation in texture and color does not change and is odorless. However, if the pregnant woman experiences a major change or pain or itching, she must go to the gynecologist.


The loss of small amounts of urine is normal

There is hardly a pregnant woman who is spared from a slight bladder weakness. As the child grows, the pressure on the bladder increases. This not only leads to more frequent toilet visits, but also to a slight incontinence. When the pelvic floor is under pressure, for example, when sneezing, coughing or laughing, you experience urine loss. The problem can be solved with a bandage or panty liner. Pelvic floor exercises after birth correct the loss of urine.


Water loss due to rupture of the amniotic sac

What concerns many expectant mothers is the fact that urine and amniotic fluid can not be distinguished at first glance. Amniotic fluid has a slightly sweet smell compared to urine. Sometimes – but not always – the amniotic fluid is slightly pink or may contain white flakes. Urine, on the other hand, is slightly yellowish. While urine seeps, it can usually be withheld if the pelvic floor is unaffected. Amniotic fluid, on the other hand, drips without a trigger and flows uncontrollably.

The amniotic fluid does not always flow lively. It is quite possible that the pregnant woman loses drops of amniotic fluid. The cause of loss of amniotic fluid is a small tear in the amniotic sac. If the birth is not imminent, the missing amniotic fluid is recreated. Often a small crack closes automatically and you do not notice it. As long as the baby is in an intact fertility bag, a drop does not affect the course of the pregnancy. However, there is also the danger that germs can get into the damaged fruit bag, which can cause infections. These should be treated with antibiotics.


Loss of amniotic fluid can be dangerous

What is PPROM?

Apremature bladder rupture (PPROM) is a pregnancy complication. In this state, the bag (the amniotic membrane) breaks around your baby (fractures) before the 37th week of pregnancy. Once the bag breaks, you have an increased risk of infection. You also have a greater chance that your baby will be born too soon.


What causes PPROM?

In most cases of PPROM, the cause is unknown.


Who is at risk to be affected by PPROM?

The following can increase your risk:

  • You had a premature birth in a previous pregnancy
  • You have an infection in your reproductive system
  • Vaginal bleeding during pregnancy
  • Smoking during pregnancy


What are the symptoms of PPROM?

The symptoms can be different with each pregnancy. They can include:

  • A sudden stream of fluid from your vagina
  • Dripping fluid from your vagina
  • A feeling of wetness in your vagina or underwear

With the amniotic fluid leak test, you can determine if the fluid is amniotic fluid. If you know it is amniotic fluid, call your doctor or midwife.


What are the complications of PPROM?

PPROM happens in many premature births. A premature baby can have many serious problems. Other complications of PPROM include:

  • Infections, such as infections of the amniotic fluid and the membranes
  • Separation of the placenta from the uterus
  • Problems with the umbilical cord
  • Surgical childbirth or cesarean sections (C section)


Can PPROM be prevented?

The cause of PPROM is often unknown. There is no way to prevent this in most pregnancies.

You need to take good care of yourself during pregnancy. This means that you should see your doctor as soon as you know that you are pregnant. Keep an eye on your prenatal controls. If you smoke, ask your doctor to help you to stop. If you have any signs of PPROM or PROM and / or if the AMNIOCHECK self-test gives a positive result, call your doctor or midwife immediately.


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