What is Bolsa Rota and how to identify it?

We always see in movies, soap operas, or even with a friend or close relative, that the bag broke and ready, labor started. But it is not always that easy, there are many problems that can happen in this path and one of them is the broken bag.

What is Bolsa Rota?

First, I’ll explain what the amniotic bag is. In pregnancy, the fetus is wrapped in a membrane inside the uterus that contains a liquid produced by the mother’s body. This liquid protects the baby from impacts and possible problems with infection and it is there that the baby grows and develops with the nutrition of the placenta. When that membrane breaks without being completely, and thus a ruptured pouch is made.

The broken bag is in many cases sneaky. She can let all the amniotic fluid escape without the woman realizing that this is the reason for so much vaginal moisture. Often, the first-time mom may complain to the obstetrician and say that this humidity is normal. However, it is necessary that there is an attitude on the part of the doctor.

The ideal is to investigate the humidity in case of being raised to the point of wetting the clothes as was my case. The ruptured pouch can facilitate the penetration of bacteria that are the cause of infections in the fetus and consequently in the mother, or it can be the other way around. The mother who already has some type of infection, can pass this on to the baby. There is no way, at the slightest sign of rupture of the bag, no matter how small the fissure, delivery has to happen if it is a medical indication for your case .

How to Identify a Broken Stock Market?

When I was 34 weeks pregnant , I started feeling too wet! I commented to my obstetrician and he said it was perfectly normal. Despite the symptoms, the examination in the office did not show leakage of the amniotic pouch. With much insistence on my part, he ended up asking for an ultrasound which was discovered only after 35 weeks that I was really low (and a lot) and also the presence of the ruptured bag.

But then it was too late, I don’t know how there was a much worse consequence. That is why it is important to be alert to signs of ruptured pouch and if there are 2 or more symptoms it is very important to talk to your obstetrician.

Bolsa Rota signs

  • Excessive humidity
  • Low amniotic fluid
  • Sudden lowering of the belly

How to Treat a Broken Bag

The broken pouch may or may not have labor present and it should be treated with antibiotics if the delivery period is longer than 24 hours. In fact, any case with ruptured pouch or total rupture should not exceed 24 hours to be treated in order to prevent infection .

Serious Cases

The risk of infection can be more serious in cases of short gestational age 24, 25 weeks for example. Although it can happen at any time of pregnancy, it is still too early for the baby to be born, after all, there are still 6 months of gestation. In these cases, the risk of the baby being inside the mother’s belly for much longer than the limit, can worsen with infections, since it is still very small and fragile.

Rota Bolsa at the End of Pregnancy

Ruptured pouch can also happen at the end of pregnancy, but then the case becomes simpler. Early delivery is not necessarily a problem as in the case of premature babies. Anyway, too much moisture in the panties that goes over and wet the pants or legs can be broken bag and should always be reported to your obstetrician! See below an opinion by Dr Jaime Filho Obstetrician Gynecologist on the broken scholarship .

Taking Questions with Dr. Jaime

Changing Diapers: Dr Jaime, how long can the bag be broken, I do not mean to break and leave all the water, but to be leaking. Does premature delivery have to happen with minimal leakage?

Dr Jaime: Broken bag, or amniorrexis, is the term used for spontaneous rupture of the amniotic bag, which can happen before or during labor. When it happens before labor, we call it Premature Amniorrexis, regardless of gestational age. The time that the bag can be broken depends a lot on the clinical picture and gestational age, since after 37 weeks the conduct is to perform the delivery (induction of labor or cesarean section, depending on the case).

However, if the pregnancy is still premature (less than 37 weeks ), and other complications are ruled out, the expectant conduct is chosen, that is, wait at least proximity to 37 weeks. For example, if the pouch breaks during a 32-week pregnancy, and it is found that there is no maternal infection, fetal distress or other changes, the pregnancy should be maintained for as long as possible up to 36-37 weeks.

N gestation time of the possible broken bag is variable, and can last up to weeks  (of course, controlling signs and symptoms of infection and fetal distress) with this diagnosis without problems, the term also varies, and it is very common for patients to reach the emergency room running, desperate, thinking it is already being born. In case of rupture of the bag, the patient should seek the emergency room, however, without despair. As I said, the bag can remain broken for weeks, and so there is enough time to get to the hospital. ”

In my case, Joana was almost at term, but it was still a little early to be born. She was born at 36 weeks weighing 2930 kg and 45 cm, and had to be hospitalized for 10 days with problems of lung infection due to the ruptured pouch not having been treated with antibiotics as it should have happened because I had a very high infection. It was quite a scare! Keep an eye.

Taking advantage of the space, I would like to tell a novelty to our pregnant readers. Famivita and I, thinking about the nutritional needs and also difficulties of women during the gestational phase, developed a complete gestational multivitamin with all the vitamins and minerals important for fetal development with a differential of the other vitamins, the size of the capsule. As it is very difficult to swallow capsules and tablets during the period of nausea and nausea, which in some cases can extend throughout pregnancy, we produce the vitamin  FamiGesta  in small capsules that are easily swallowed, the size of an MM’s. You can purchase it here our online store.

See also: Joana’s birth part 1

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My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.

Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

Dr. Alexis Hart

My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

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