A case study: An Amish husband calls me to tell me his wife thinks her waters released. I ask all the pertinent questions: when? How much? What color? Any contractions? Which mostly he doesn’t know any of the answers to 😆which instantly reminds me that I need to make Amish papas a cheat sheet since they are often the ones doing the phoning. He does know that she isn’t contracting, so I remind him: nothing in the vagina, take a temp every 4 hours when awake, & call me when rushes begin. I anticipated a call that night but one never came through. That next AM, the husband called again to update me: still no rushes, no fever, will call when something changes. By 1pm having not heard a word, I decided to pop over and listen to Baby, and place eyes on mama. I inquired about baby’s movements, the amount of leaking/gushing she has had, additional leakage, & we tested some wetness with an amnio swab. Mom felt only a little trickle, just enough to dampen her panty liner. The test was Negative. Baby was great. Mom great. We chatted & made a plan and I left her with instructions to continue taking her temp every 4 hours while awake & left her with a few more amnio tests & some more litmus paper to test any future tricklings. That evening I was once again updated. The test was negative on another little bit of wetness she had experienced. Still no fever. All was well. (Luckily, as another Amish mama has SROM that evening & called me out at 3am!) The next day around 3pm, the husband called again to request the birth team. It was go time.
Mama was rushing with regularity. Her labor was slow & steady. Long & gentle. Relaxed & right at the end, fast like a steam locomotive. With a good push her amniotic sac popped & a fountain of clear fluid raced into the air, landing squarely upon my lap. Soon after her fifth baby, fourth born little lady, was born into a darkened room surrounded by sacred awe. Upon inspection of her placenta while motherbaby bonded, we noticed a peculiar site. Way at the very tip top of the amniotic sac, as far away from the big hole created by the popping of her bag of waters....was this tiny hole. (Cont in comments!)