If your waters break and it is night time - you can call first thing in the morning to let your continuity midwife or the Birth Suite midwives know if:

• fluid is clear or pink (you need to call Birth Suite or your midwife as soon as possible if the fluid is green/black/brown or like blood)
• baby is moving well or like you would normally expect
• your baby is head down and was ‘engaged’ at your last pregnancy appointment
• you were Group B Strep NEGATIVE or you declined the vaginal swab, and
• you are not concerned.

Otherwise call the Birth Suite midwives or your continuity midwife to discuss a plan for you.

If waters break and it is day time - call the Birth Suite midwives or your continuity midwife to let them know and a review will be arranged during that day, if all is ‘normal’, as above.

If your waters break and you are Group B Strep positive:

• Call when your waters break as an induction of labour is recommended as soon as practicable – talk to your care team if your preference is to not do this.
• You will be offered IV antibiotics in active labour, every four hours until your baby is born.

If you are unaware of your Group B Strep results, and your waters break, you will need to call the Birth Suite midwives or your continuity midwife.