11/15/2025
“Labor starts when my water breaks, right?”�Not usually!
Only 8–10% of labors actually begin with your water breaking. So the real question is… when does it break?
As doulas, we’ve seen an increase in AROM (when a provider intentionally breaks the amniotic sac with an amnihook) especially for first-time parents. But here’s the truth: your water does not need to break for you to give birth.�
In very rare cases, babies are even born with the sac still intact, called an en caul birth. If your water hasn’t broken earlier in labor, it often breaks naturally during pushing!
So why is AROM so common? Many providers believe rupturing membranes speeds up labor. But research doesn’t support that for first-time moms who aren’t also using pitocin. This is one reason it’s so valuable to understand the evidence before birth.
When can AROM be helpful?�If you have a “bulging bag,” are around 8+ cm, and baby is at 0 station or lower, AROM can sometimes help baby’s head apply more direct pressure to the cervix.�Doing it earlier, however, can increase the risk of fetal malposition, longer exposure time for infection, and more intense contractions.
This is why we remind our clients that interventions can be amazing tools, but timing is EVERYTHING. Knowing when and why to use them is key to aligning your birth experience with your goals.
If you’re looking for doula support to help you prepare, research, and confidently navigate the decisions that come with labor, we would be honored to walk with you 🤍�Fill out the contact form on our website or email us at ascbirthing@gmail.com.�We can’t wait to connect with you!
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