To ask for medical treatment dr think is unecessary?

[RightBuggerforit]

I'm over 39 weeks pregnant, waters started leaking 4 days ago. Hospital policy locally is to induce 24-48 hours after a leak due to infection risk. Doctor has said there's no evidence of a leak, as it would show on a speculum and I'd be soaking pads every few hours - apparently there's no such thing as a small leak, it's either a massive one or a figment of your imagination.

The same thing happened last pregnancy, waters were gushing out every time I sat down, but nothing showed when they did the speculum. They induced after 48 hours when I produced a whole cupfull of amniotic fluid I'd caught myself in a pot.

This time, the leak is less gushy, but I still managed to catch some waters in a pot and present them. Dr agrees it appears to be amniotic fluid, and that it is a 'mystery' because there is too much of it for any explanation other than a hind water leak, but still won't accept that there is one, because of the speculum.

AIBU to ask for either induction or preventative antibiotics, to protect the baby from infection, given the length of time waters have been unsealed for?

Nice guidelines used to say induce if no baby 96 hours after PROM - that was in 2007 when I had DD and SROM'd before active labour. Had 3 days of latent labour with no waters though, that was grim. I was offered antibiotics at the time.

It was changed so current NICE guidelines now say to offer induction after 24 hours. Due to combination of infection risk and the fact that if labour is going to kick off imminently, most will have done so by 24hrs, AFAIK.

My ROM didn't turn into active labour because of shit position - brow.

My waters broke and they induced me after 24 hours. Thought this was standard to prevent infection? My DD was early though at 36 weeks.

I'd be calling the midwife saying your waters have been noticeably leaking for x days and you're not feeling well in yourself, achy and unwell (which at 39w can't be a lie).

Say you are worried about decreased movements and you want to come in... hopefully that will get them to take it seriously, you don't want an infection to happen - doesn't matter if leak is slow, germs are rather tiny and any breach is a risk.

Good luck.

I was sent for early induction because my amniotic fluid levels were dropping week by week and I was told that as soon as you get to 5(mm?) at the deepest pool it is considered a dangerously low level which I finally reached before I was due so I can't believe some people are left days after there waters are breaking, clearly the guidelines vary depending on area. I didn't have a leak though, I don't know if that makes a difference.