Call 911!!!

So we get a phone call from the ER saying that a patient was being brought in via ambulance. 27 weeks, her water broke at home, and she is having lower abdominal pain. The ER nurse said the medics sounded very panicky and they were afraid she was going to deliver in the ambulance. Their ETA was 5 minutes. So I got a room set up with a delivery table and an IV pole etc.

The medics bring in this girl about 19 years old, "Megan." Megan had been having some abdominal pain off and on all day, but when her water broke her mom and grandma went into all out panic mode. They started to bring her to the hospital, but halfway there they were afraid she'd deliver in the car. So they pulled into the fire station and the firemen took care of her and put her in an ambulance while mom and grandma drove to the hospital. Megan comes in as expected, laying on her left side, O2 on, and an IV of LR running wide open.

We transfer Megan to her labor bed. I check for Amniotic fluid. Megan's vagina is dry as can be. I can't even get a swab. The midwife comes in and can't find any fluid either. No uterine activity is noted on the monitor or can be palpated. Also Megan's cervix is closed, thick, and high. While discussing out of earshot what might be going on, Megan lets out a yelp. "I just had another big gush of fluid, just like the last one!" The midwife and I rush over to discover a small yellow puddle between her legs.

That's right. Megan came in via ambulance because she peed her pants.