It is common for pregnant individuals to experience a sensation that feels like their water is about to break, especially during the later stages of pregnancy when the baby is actively moving. This feeling can be quite strong and often leads to concern, but it is typically a normal and expected part of the pregnancy journey. While the sensation can be unsettling, it does not always indicate that the amniotic sac has ruptured.
Understanding the Sensation
The sensation that your water is going to break when the baby moves is primarily due to increased pressure within the uterus as the baby grows larger and occupies more space. Stronger kicks or shifts in position can momentarily intensify this pressure on the cervix and pelvic floor.
When the baby’s head descends into the pelvis, known as engagement or “lightening,” it further contributes to this sensation. This downward shift can place direct pressure on nerves and ligaments in the pelvic area, leading to feelings of heaviness or a “bearing down” sensation. The amniotic sac, which cushions the baby, also exerts pressure as the baby moves and the fluid volume changes throughout pregnancy, peaking around 34 weeks.
Distinguishing from Actual Water Breaking
Differentiating between the sensation of pressure and actual rupture of membranes is important. True water breaking involves the leakage of amniotic fluid from the vagina. This fluid has distinct characteristics that help in its identification.
Amniotic fluid is typically clear or pale yellow, sometimes described as straw-colored. It may be odorless or have a slightly sweet scent, unlike urine which has a distinct ammonia smell. The leakage can manifest as a sudden gush or a continuous trickle that cannot be stopped by pelvic floor muscle contractions. In contrast, the pressure sensation from baby movements is transient, localized, and does not involve fluid leakage.
When to Contact Your Healthcare Provider
Certain signs warrant immediate contact with a healthcare provider. Any actual fluid leakage from the vagina should be reported, even if it is a small amount. If the fluid is not clear, green or brown fluid can indicate meconium, the baby’s first stool.
Other concerning symptoms include fluid with a foul odor, which may suggest an infection. A decrease in fetal movement, regular and intensifying contractions, or vaginal bleeding also necessitate immediate medical attention. If you are less than 37 weeks pregnant and suspect your water has broken, or if you experience fever or chills, contact your provider without delay.
Coping with the Pressure and Discomfort
Changing positions, such as lying down or trying side-lying release techniques, may help alleviate some pressure. Gentle movements like pelvic tilts and mild stretching can also provide relief.
Warm baths, if approved by your healthcare provider, can help relax muscles and reduce discomfort. Staying well-hydrated and wearing supportive maternity wear, such as a belly band, may also offer some relief by supporting the abdomen and distributing weight. Strengthening pelvic floor muscles through Kegel exercises can also be beneficial, though they will not prevent actual labor.