

This meconium is diluted and processed with the amniotic fluid as described above. This is perfectly normal and is not a sign of distress.


So, even when the amniotic sac has a hole in it, there is still some fluid present, ie. there is no such thing as a ‘dry labour’. This process continues even if the amniotic membranes have broken. This is mostly made up of urine and respiratory tract secretions produced and excreted by the baby. The amniotic fluid is constantly being produced and renewed – baby swallows the fluid it is passed through their gut into their circulation then sent out via the umbilical cord through the placenta. Anatomy and physiologyīy the end of pregnancy the baby is surrounded by around 500-1000mls of Fluid. I have included references and links for additional content. Most of the information in this blog is available in any good physiology textbook. This post will discuss how the ‘waters’ work in labour and the implications of breaking them. Women need to be fully informed of the risks associated this intervention before agreeing to alter their labour in this way. However, an ARM should not be carried out without a good understanding of how the amniotic sac and fluid function in labour. Artificial rupture of membranes (ARM) aka ‘breaking the waters’ is a common intervention during birth.
