08Evidence B

If your water breaks, lie down flat, elevate your hips, and call 120 — don’t walk around or take a shower

If your water breaks, there’s no time to calmly gather your things and head out. The right thing to do is lie down right where you are, raise your hips, and call 120 immediately. Walking around while standing up causes amniotic fluid to leak even faster, and the umbilical cord can be pulled out along with it. This is a life-threatening emergency for the baby.

Cost

No cost at all

Benefit

This is exactly what the Beijing Municipal Health Commission recommends: “Immediately lie down flat to prevent…

Cost

No cost at all

Benefit

This is exactly what the Beijing Municipal Health Commission recommends: “Immediately lie down flat to prevent further loss of amniotic fluid,” “Do not walk around casually,” and “Call emergency services at 120 right away.” While waiting for help, inform family members so they can bring necessary items to the hospital. Medical sources further explain why this is essential: when a person stands, amniotic fluid drains much more quickly, increasing the risk of umbilical cord prolapse — a critical emergency for the fetus. Therefore, lying down and elevating the hips is crucial; a left-side lying position is ideal.

Original sources

北京市卫生健康委员会. 每周急救话题:准妈妈羊水早破怎样办? https://wjw.beijing.gov.cn/bmfw_20143/jkzs/jzjj/202001/t20200115_1575632.html;北京市顺义区妇幼保健院. 孕晚期在家破水怎么办? https://www.bch-syfy.cn/Html/News/Articles/9453.html

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Book note

The three main signs of impending labor are regular contractions, vaginal bleeding, and water breaking. With the first two, you can still prepare calmly, but water breaking demands immediate action: lie down and call for help. Common mistakes include showering, squatting on the toilet, or driving yourself to the hospital. Be sure to note the exact time water broke and its color; tell the doctor if it appears yellow-green or contains meconium, as this indicates fetal distress and oxygen deprivation. If you also experience regular contractions, a marked drop in fetal movement, fever, or chills, emphasize that this is a true emergency.

My note