Differential Diagnosis for Leaking of Fluid in Pregnancy
Single Most Likely Diagnosis
- Premature Rupture of Membranes (PROM): This is the most common cause of leaking fluid in pregnancy, where the amniotic sac breaks before 37 weeks of gestation, leading to fluid leakage.
Other Likely Diagnoses
- Spontaneous Rupture of Membranes at Term: Similar to PROM, but occurring at or after 37 weeks of gestation.
- Cervical Insufficiency: A condition where the cervix begins to dilate and efface before the onset of labor, potentially leading to fluid leakage.
- Urinary Incontinence: Pregnant women may experience urinary incontinence due to pressure on the bladder, which can be mistaken for fluid leakage.
Do Not Miss Diagnoses
- Placenta Previa: A condition where the placenta covers the cervix, which can cause bleeding and potentially be mistaken for fluid leakage. Missing this diagnosis can lead to severe maternal and fetal complications.
- Uterine Rupture: A life-threatening condition where the uterus tears, potentially causing fluid leakage and requiring immediate medical attention.
Rare Diagnoses
- Vesicouterine Fistula: An abnormal connection between the bladder and uterus, which can cause fluid leakage.
- Cervical Fistula: An abnormal connection between the cervix and vagina or other organs, potentially leading to fluid leakage.
- Amniotic Fluid Embolism: A rare but potentially life-threatening condition where amniotic fluid enters the maternal circulation, which may present with fluid leakage among other symptoms.