How Can I Tell If Leaking Fluid Is a Sign of Labor or Something Else?

Reviewed by Suo Lee, MD

Internal Medicine

You can tell if leaking fluid is a sign of labor by noting its appearance and consistency and by checking for other labor signs like contractions. It is also important to have this be evaluated by a healthcare provider.

Explanation

When you notice fluid leaking, start by observing its characteristics. Amniotic fluid is usually clear, watery, and odorless. In contrast, normal vaginal discharge is often thicker, yellowish or white, and may have a slight odor. If the leak happens alongside strong rhythmic contractions, it is more likely a sign of labor. However, if you’re experiencing a steady, continuous leak without any significant contractions or cramping, it might not mean that labor is starting immediately—it could be a premature rupture of membranes without active labor. Also, sometimes women confuse urine with amniotic fluid.
Since identifying the source of leaking fluid by yourself can be challenging, it’s essential to contact your healthcare provider. They can perform tests, such as a speculum exam or a nitrazine test, to confirm if the fluid is amniotic and advise the next steps needed for you and your baby’s safety.

(References)

Kazimierak W, Karowicz-Bilińska A, Berner-Trabska M, Brzozowska M, Kowalska-Koprek U, Kuś E. Ciaza u pierwiastki powikłana przedwczesnym peknieciem pecherza płodowego w 15 tygodniu ciazy zakończona porodem donoszonego noworodka--opis przypadku i przeglad piśmiennictwa [Pregnancy in primigravida complicated by premature rupture of membranes in 15th week of pregnancy with successful delivery outcome of the mature newborn--case report and review of the literature]. Ginekol Pol. 2006 Apr;77(4):310-3. Polish. PMID: 16875037.
Abboud P, Zejli A, Mansour G, Monnoyer Y, Houareau LG, Bart H, Bock S. Perte de liquide amniotique et rupture des membranes après amniocentèse. Revue de la littérature [Amniotic fluid leakage and premature rupture of membranes after amniocentesis. A review of the literature]. J Gynecol Obstet Biol Reprod (Paris). 2000 Dec;29(8):741-745. French. PMID: 11139709.

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