Dear mommy to be,
Do not want to start a new thread and wish to get some information about "discharge & leakage of amniotic fluid". Basically, how we differentiate whether it's a normal discharge or it's actually amniotic fluid leakage? Since the beginning of my pregnancy, i noticed that i have lotsa discharge...be it thick yellowish discharge or "milky fluid discharge". Recently, i read alot about amniotic bag leakage during 2nd trimester and i am getting worry about it. I do not know how to differentiate whether it's normal discharge or leakage as this is my first pregnancy. Some of my colleague told me that if it's leakage, we can see some blood in the discharge, but i am not too confident on the answer. As i am schedule for check-up in Klinik Ibu Mengandung next month, i do not know who to refer to as i didnt' go for private check-up. Is there any indication to differentiate discharge & leakage of amniotic fluid? i.e..smell, colour..blood or etc.
Since i am getting my monthly check-up in Klinik Ibu Mengandung, the nurses does not do scanning for me. How do i know whether the liquid in my amniotic sack is consider enough for baby? I am reaching 29 weeks this Saturday, and i can feel the kicking of my baby very intensely. It is normal? Cos sometimes, i can feel the pain. Nurses in Klinik Ibu Mengandung told me that they won't do any scanning for me anymore until 40 weeks (provided if my baby still do not want to come out yet).
Is it recommended to do a scanning every month to check whether my baby is ok? Cos until now, i do not know how much does my baby weight. Please help
Leaking means leaking of liquor, from the history usually the patient will say there is a gush of fluid flowing out just like urine. The fluid usually not as thick as the discharge and usually clear to slight yellowish. And it has a distinctive sweet odour. Usually don't have blood. This is different from show which is a mucous like material and usually blood stained. Vaginal discharge usually quite thick and not as much as leaking liquor. Commonest cause is candidiasis, a form of fungal infection in which the discharge is whitish in colour. Typical text book description is whitish or whitish-gray cottage cheese-like discharge, often with a curd-like appearance. When the discharge is greenish or yellowish in colour, this is usually indicating bacterial vaginosis or secodary bacterial infection on top of the candidiasis. Both can easily treat with antifungal and antibiotic.
So in order to diagnose, the doctor will usually do a speculum inspecition. Often vaginal discharge can be diagnosed by visual inspoction. The doctor will also look for pooling of liquor or a gush pf fluid comes out when you are asked to cough, both these indicate leaking liquour. An ultrasound maybe done to measure the liquor volume which may reduced in leaking liquor.
There is a different of management of leaking liquor and vaginal discharge because leaking usually mean there may be preterm labour (hence problem associated with prematurity) and increase risk of intrauterine infection which may affect the outcome of baby. Vaginal discharge usually easily dealt with treatment and usually no problem for the baby. So if you are in doubt I suggest see a doctor at least to have spculum examination to clear your doubt.
Your baby kicking intensely mean your baby is active which is a good sign. Strictly speaking, you don't need an ultrasound every month as the nurse can monitor the baby growth from measuring your uterine height. However ultrasound enable the doctor to keep tract the measurement of parameters so that a growth chart can be plotted and early sign of growth problem can be detected.
Baby weight can be estimated by ultrasound through computer calculation using various parameters OR by experienced hand's palpation.
Dear nckeat,
Thank you for the information. All this while, the discharge is liqiud yellowish in colour. But i did not mentioned much about it during check-up because it happens since pregnancy and they said it's normal for preggie lady to have lotsa discharge.
Normally nurse will only ask me whether I am "sihat" or not. Then will listen to baby heart beat thru the doppler, then the nurse will "picit-picit" my tummy (dunno why but i guess measuring the baby head kuar). sometimes, i doubt whether this is correct measurement or not, because they just put a measurement tape on the part that they "picit" to my private part.
They didnt check my private part either. Then, will continue to prescribe the supplement for me. Sometimes when i urinated, i can feel that there's yellowish discharge, if i wait for a little long while, then there's some liquid coming out also (watery, light yellow) - do not know whether this is the mixture of "urine with discharge" or it's the leakage because it has no "foul smell"...just normal, not stinky. Just now you'd mentioned that the leakage should smell a little bit "sweet". I do not know to determine this either.
Since Klinik Ibu Mengandung is not doing any further scanning, i am just curious how they can ever detect that some "mommy to be" are actually having leakage which harm the baby in the tummy? Do they do anything to detect this earlier?
You did mentioned that yellowish thick discharge means infection, does this infect my baby cos for me, this has happened for quite some time... i am worrying dead. Further, i read fluene post and noticed that cervic dilation happens without mommy actually noticing it. How does this happen? Cos sometimes, i do not know whether baby is getting heavier or what, most of the time when i urinated, i feel like my baby wants to come out dy....
I didnt feel those contraction yet (as mentioned by other members in this forum) but sometimes at night, can feel tummy painful, maybe baby don't like my sleeping position. Hubby said that i'd been thinking too much and read too much of horror pregnancy stories.
I do not know....throughout my pregnancy, i just hope that my baby will be fine. i just want to make sure that everything will be fine as i want to protect my baby. Thanks for explaining as i have no one to turn to.
) After everything done, counselling session with nurse. Not to wear high heel 
Not to wear too tight 
)Last step is the Pharmacy session to take my Folic Acid. 
