My water broke without starting active labor with #1. Your amniotic fluid is made of mainly baby pee so it KEEPS coming out. Yup, it sure can. Yes, as I mentioned above as long as you dont feel any-thing (hand, foot, or cord) hanging out youre good to shower. Water breaking itself isn't all that exciting, but it normally does start "labor" -- so, what REALLY happens after it breaks? By evening i was in a high risk pregnancy ward in a hospital in a bigger city. Things to take note of when your water breaks, Frequently Asked Water Breaking Questions. Plus, what does water breaking look like? Everything changes those last few weeks of pregnancy, it can be REALLY hard to tell (I get it). If you suspect that your waters may have broken, the best thing to do is seek medical advice and expertise. 100 percent of all energy gets passed. I would recommend that women past 36 weeks are SURE they have a waterproof mattress pad. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. One other time I see a lot of fluid come out is when women lift their hips up off the bed (most often they do it when were changing out something thats under their butt). An infection is the main concern if your fluid is broken for a long time. n.callMethod.apply(n,arguments):n.queue.push(arguments)}; They can also make sure everything looks normal and will be able to take a swab for testing and potentially spot any signs of infection. actually looks like. Yes, and I've heard it's disconcerting. Once again -- this type of info is exactly what's in this online prenatal class (some people call it a birth class, hospital class or childbirth class). Doctors can break water and do it frequently to speed labor along. No huge rush. Use the mnemonic "COAT" to help you recall the four key pieces of information. COLOR: What color was the fluid? Some women say it feels like a pop and then a big gush of fluid. Smell the fluid. I would recommend that women past 36 weeks are SURE they have a waterproof mattress pad. I've been an L&D nurse since 2001. Discharge vs. Urine: How to Tell the Difference. Once again, there's a billion posts and billion opinions on what you need. While this isn't a crystal ball, it will give you some ideas as to what to watch for as you slowly move closer to having your baby. An infection is the main concern if your fluid is broken for a long time. Break 'stay focused' down into sounds: say it out loud and exaggerate the sounds until you can consistently produce them. If youre here you likely have a LOT of questions and labor. Is it can be water vreaking? This Is my Water Broken Quiz will help you figure out if your amniotic sac broke or if you just peed even with or without contractions. Do you need to call anyone, such as your partner or doula? You can have a high leak and your water will slowly leak out if that is the case. However, if you have any questions at all, call your doctor/provider first! Not much notice though. oliversmommy32912 member. Something that may help you be able to discern whether or not your water has broken is being aware of what the amniotic fluid (the technical term for your waters!) Some women say they feel a "pop" and then fluid gushes out. I found out that I was 1 full centimeter, 40 . And in case you didn't know it already -- baby pee is in a seemingly endless supply! It isnt painful, unless it is accompanied by labor contractions (and its the contractions that hurt, not the breaking of the water). First off, put a call into your provider. I asked her if she had any leaking since then, and shed had none. The end. The baby continues to make pee -- which is what most of amniotic fluid is made up of. It can be really hard to tell if your waters are leaking Well talk about how long it can be before baby needs to get out, and how often it happens? If it smells like urine, it probably is urine. 3 hours later at a different hospital and I started pushing. Yes, for sure. Loading shell for quizzesApp1 vue props component in Globe. There is a chance of infection now that barrier is broken. 29 other terms for focused effort- words and phrases with similar meaning. Sometimes theres LOTS of fluid, and sometimes there isnt much fluid (thanks to the babys head shutting it off) and that can be confusing. Here's a Cartoon Network commercial break that aired after an episode of Chowder in 2008. This is the big time! This can be hard to tell which is why we have the test I talk about next. In the event that they do, please head straight to your birthing facility. A trickle? Honestly, most people feel a small trickle that just continues, however most women have a different "story". When autocomplete results are available use up and down arrows to review and enter to select. Does it smell like urine? ? Ive helpd hundreds, if not thousands, figure out if their water was broken so I really an expert on this. CBD Gummies - Buy 1 Get 1 FREE. Of course, when they do break, the best thing to do is to get professional medical advice and assistance. Water breaks with a big gush, and a baby is on the way. Labor and birth. Ironically, the one time (out of five births) that my water broke on its own, it was 6 weeks early. Amniotic fluid is WATERY, its not thick and it isnt normally bloody (but can have streaks of blood or mucus, thats normal). The other test is to take a small sample of fluid and look at it under a microscope. The chance of infection is highly increased once your water breaks for an extended period of time. Do not use a tampon or put anything else in your vagina, as this can increase the risk of infection if you water was broken (never use tampons at any time during pregnancy). Try to do a fetal kick count or make note of your baby's movements as well. With DD1, my water was a small trickle. The end. It normally is pretty tough, but can break (obviously). Has this happened to anyone before? I also wouldn't try it, you could really hurt yourself or the baby. This post includes (click to what ever area you're interested in): First off, how do I know so much about water breaking? If your . The chance of infection is highly increased once your water breaks for an extended period of time. But . The doctor asked when my water broke. What color is it? Some soon to be mothers actually employ a variety of methods to induce labor themselves such as the holistic approach of using pressure points. At 45 mph the car is traveling at 66 feet/second and will take just over 3 seconds (3. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The hospital does have a definitive test to tell if your water has broken. Stumped her and the nurse. Discharge is more constant and often thicker or white. These cookies track visitors across websites and collect information to provide customized ads. With freshie, my dr broke my water at 8 cm and nothing came out. )O Odor (does it smell funny? Anne Marie Helmenstine, Ph. Ive heard of pregnant women who had a dry birth and Im not sure what that is. A lot of people wonder WHAT it is going to be like. !function(f,b,e,v,n,t,s) Which by the way is so freak uncomfortable. Broken waters coupled with incredibly fast contractions may be indicative of a precipitous labor! If your water does break, it's usually just a matter of your underwear being wet. They also may start you on antibiotics after its been a while. PNW Doulas has experience with the following: Childbirth Education, VBAC, VBA2C, Anxiety, High Risk Birth, Unmedicated Birth, Epidurals, Adoption, Surrogacy, LGBTQ+, Cesarean, Postpartum Anxiety, Vaginal Birth, Multiples, Inductions, Birth Centers, Breastfeeding, Pumping, Formula Feeding, Postpartum Depression, Postpartum Anxiety, Care of Multiples, Loss, Pregnancy After Loss, Hospital Anxiety, Trauma, Trauma Informed Care, Spanish Speaking Doula, ASL Doula, OHP. Even still, there are others who experience atypical symptoms such as a trickling of fluid or generalized . However, you may visit "Cookie Settings" to provide a controlled consent. It is a varied feeling among women but lets talk more about how to know thats IT! - Prenatal ,Miracle Baby Born 39 Days After Mom,Did my water break or did I just pee my pants? If the pantyliner is wet at the end of that time, it could be amniotic fluid. This cookie is set by GDPR Cookie Consent plugin. 38+4 today and was 0cm dilated at my 38w appointment. In fact, many women say that at first they completely disregarded it and assumed they were having difficulties with incontinence. If you're away from home, you'll probably want to get home now if you can. Understanding the difference between your water breaking and peeing is especially important when your water breaks before labour starts, so make sure you keep an eye on the signs. Who knows, some people have their water break prematurely. In order to REALLY know if amniotic sac ruptured -- you will have to go to your doctor or to the hospital. ???? Honestly, most people feel a small trickle of fluid that just continues (sometimes the babys head corks it off), however most women have a different story. If they are green or brown, its possible your baby has passed a bowel movement in the womb. However, youve taken what WAS a closed system and opened it up to bacteria, etc. "Also, amniotic fluid DOES keep coming out as long as baby is well and healthy (because it's baby pee). If you experiencea gradual and steady stream of water, it may be due to a small hole in the amniotic sac that is leaking water. During the vaginal exam, the practitioner will introduce a small piece of paper, called litmus paper. Some people detect pressure when their water breaks. Discharge is more constant and often thicker or white. Lets find out about all those other weird labor signs (I call them the labor gang) in here. Called midwife asked put pad on and hour later call her back. Nope. Was it a little bit? When your waters break, it doesnt necessarily mean you are immediately going to begin the process of labor. Cochrane Database Syst Rev. During the examination, an instrument called a spectrum will be used to examine your vagina. It was just enough to dampen my underwear. First off, lets try a little quiz that might give you an idea: Im going to give you aIs my Water Broken Quiz? Its confusing, right and its something you never really THOUGHT would be confusing it sounds so cut and dry. When in reality, only about 20% of labors start with the water breaking! Discharge is more constant and often thicker or white. There is an increased risk of infection now that barrier is broken. What if you could choose how you were going to die? Painful Cervical Checks During Pregnancy: What to do if youre scared. They also may start you on antibiotics after its been a while. Id love to help follow you through your pregnancy with some helpful tips too! The vagina will receive whatever the uterus expels. Have had Braxton Hicks since but nothing regular, and no more liquid. This quiz will guide you on your journey of learning about chemistry. fbq('init', '3083662021720692'); This korning on toiket felt that that water break was confused if i was weeing cause couldnt feel. Amniotic fluids should be clear. ___________________________________________. If youre heading to 12 hours without contractions you can expect that your doctor is going to want to start you on some Pitocin (the other induction agents are limited once it is broken). Only about 15% of women have it break on its own before coming into the hospital. However, you've taken what WAS a closed system and opened it up to bacteria, etc. Did my Water Break Quiz. Your Guide to the Entire Labour Process ,Did Your Water Break? However, at the end of your pregnancy it will likely thin out. Verywell Family's content is for informational and educational purposes only. Neither situation is painful, says Dr. Ressler . Infection or inflammation in the membranes. The amniotic sac can rupture, resulting in the fluid escaping at any point during labor. AS I said above when your water breaks, it is super watery. However, if you have any questions at all, call your doctor/provider first! PUBLISHED: October 24, 2022 | By Hilary Erickson. Occasionally its not possible for them to 100% determine whether your waters broke with 100% certainty. This is the big time! to help you determine IF yours is and then were going to talk about ALL The answers, as well as some common mis-conceptions about water breaking. 'https://connect.facebook.net/en_US/fbevents.js'); She got to cut the first clump of grapes for the harvest and it's her birthday after harvest is done p. 6. s. summerlovin2017. We get it! Your Labor nurse can test it. Think of it as pushing on a full water balloon, and then how much harder it can push if the balloon had most of the water leaked out. The baby continues to make pee which is what most of amniotic fluid is made up of. I doubt this is all his semen ! Eating a well-rounded diet will help your water bag be as strong as it can be. When my waters broke a few weeks early I was in the shower but could still tell, it was like a balloon bursting and it was literally everywhere. The cord can slip out when your amniotic sac breaks and this can have serious consequences. If they dont break on their own accord, medical staff may help speed up your labor by breaking them for you. First off, let's try a little quiz -- that might give you an idea: I'm going to give you aIs my Water Broken Quiz? The cord can slip out when your amniotic sac breaks and this can have serious consequences. Yes, for sure. Tylermomrocks. PDF CHEM 101General Chemistry Answer Key. Some women say it feels like a pop and then a gush of fluid. This paper reacts by changing color when it is exposed to amniotic fluid. It is surely not recommended. Yes, for sure. Attending Births at: Salem Health, St Charles, Silverton Legacy, Santiam, Bella Vie, Providence Newberg, Willamette Valley Medical Center, Samaritan Albany General, Good Samaritan Regional Medical Center, Corvallis Birth Center, Sacred Heart Riverbend, McKenzie-Willamette, and home births. Earth Science - Unit 9: Astronomy Quiz Find Tens of Thousands Exams, Test Answers and Flashcards in Any Category at Quizzes Studymoose Upgrade Your Brain (415) 230 53 00 Essay topics and ideas. The baby continues to make pee which is what most of amniotic fluid is made up of. doi:10.1002/14651858.cd005302.pub3. Often the best way to tell is the odor, urine will have a distinctive smell and color, while amniotic fluid should have no pungent odor at all. This Is my Water Broken Quiz will help you figure out if your amniotic sac broke or if you just peed even with or without contractions. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Then 4 days later they sent me home again when I was in labor. You may get a gush, you may get a trickle. Towards the end stage of pregnancy, a lot of women prefer to stay in their homes as they await the arrival of their baby and anticipate their waters breaking. It could although I havent hread of this often. If you experience a watery discharge or feeling of leaking, these simple steps can help you determine if your bag of water has broken. These could include: Sudoku puzzles. But opting out of some of these cookies may affect your browsing experience. Did my Water Break Quiz: Did I just pee or how to tell if your water broke, When Will I Go Into Labor Quiz: The signs of labor is near, What to pack in Your Hospital Bag: Your Labor & Delivery. Next, it is furnished to the actual . . Urine can be many colors, but it is usually colored. I would recommend that women past 36 weeks are SURE they have a waterproof mattress pad. I think that mostly happened when the water broke LONG before the baby is born. Coughing, or going from sitting to standing should elicit another gush. Especially if you have certainly risk factors like group B positive (most providers call this the GBS test). It even GUARANTEES to get you more prepared (or your money back). In fact, I have a whole podcast on labor signs. Posted 11/22/22. We go into detail about why that is in here. October 2013. You may get a gush, you may get a trickle of water. Especially, it was her 3rd, she was older and she just didnt have a young bladder anymore. Especially if you have certainly risk factors like group B positive (most providers call this the GBS test). . . AMOUNT: How much fluid left your body? It was q gush. Went into the hospital, took the paper test and sure enough, had a leak. fbq('track', 'PageView'); Yes, you can have a trickle, but if you cough or change positions usually more comes out. )A Amount of fluid (giant gush or a slow trickle)T Time (what time did it break, remember the clock starts going after your water is broken). Sometimes theres LOTS of fluid, and sometimes there isnt much fluid (thanks to the babys head shutting it off) and that can be confusing. This substance can result in the fluid becoming tinted and in cases where it is extremely discolored can be cause for concern. I see that a lot in old-timey books. As long as nothing is hanging into your vagina (Im thinking arm/leg/cord) you can shower and change clothes, etc. Although they are simply referred to as waters by most people, they are far more than simply water and they themselves have had a very important role toplay throughout your pregnancy. We go into detail about why that is in here. EDD Feb 25, 2010..Feb 2, 2010, I went in for my routine check of my cervix. My water broke in the middle of a contraction while I was squatting down at the foot of my bed. It does NOT look like mucus. Once your water breaks, contractions usually start in the next few hours. Some women have noted a distinct popping feeling right before their water breaks. Normal vaginal discharge is odorless. )A -- Amount (giant gush or a small trickle)T -- Time (what time did it break, remember the clock starts going after your water is broken). Explore. Good luck! The water bag can break in two ways: a big gush from a rupture at the bottom of the bag (now baby's head can sit on cervix and speed up labor . Your amniotic fluid is made of mainly baby pee -- so it KEEPS coming out. You can also have the baby inside the water sack -- it's called a "mermaid birth". Yup, it sure can. To get familiar with the table. BTW, I have a whole post on vaginal discharge during pregnancy. Hi, Im Hilary many people know me as The Pregnancy Nurse ????. Water breaking itself isnt all that exciting, but it normally does start labor so, what REALLY happens after it breaks? Into. If something IS hanging out you need to call 911 and get your butt raised above your head. In order to REALLY know if amniotic sac ruptured you will have to go to your doctor or to the hospital. Ended up in big hospital, stopped labor from happening with Magnesium Sulfate (which was in its trial phase and they didnt know it worked yet) and induced 2 weeks later when risk of infection staying in outweighed risk of preterm delivery. Rich, has servants, loves that people dote on her, lives on a ranch, like a princess p. 8. If the paper doesn't react, your water has not broken. ,Waters breaking early (PPROM) ,Did My Water Break? I cant answer specifics like this. I talk about this a TON in this prenatal class (with images etc). And frankly, labor in general is like that. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. If anything comes into your "va-jay-jay" besides fluid from your uterus (or just your basic discharge -- I'm talking about a THING), you need to get your butt in the air (hands and knees with your face in the floor, bum in the air) and call 911. If you're heading to 12 hours without contractions you can expect that your doctor is going to want to start you on some Pitocin (the other induction agents are limited once it is broken). By clicking Accept All, you consent to the use of ALL the cookies. I also wouldnt try it, you could really hurt yourself or the baby. I see that a lot in old-timey books. Call 911. If it's dry, the cause is more likely urine or discharge. Your risk of infection increases the longer your water remains broken. It isn't something you want to wait and wait to decide if it's broken, but you can certainly wait a couple of hours. They wont mind if its a false alarm. The sac is composed of two membranes that can rupture before labor and before contractions have started. It isnt something you want to wait and wait to decide if its broken, but you can certainly wait a couple of hours. Ive helped hundreds, if not thousands, figure out if their water was broken so I really an expert on this. The steps are: Step 1a: View, read aloud and repeat. Read our, When Your Water Breaks Without Contractions, How Vaginal Discharge Changes During Pregnancy, Breaking the Water to Induce or Augment Labor, Postpartum Bleeding: What's Normal, What's Not, Pregnancy Complications Women Need to Watch For, Contemporary diagnosis and management of preterm premature rupture of membranes, Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more). facebook; twitter; linkedin; pinterest; Water Break Waters Breaking - Is Labour Near? Save my name, email, and website in this browser for the next time I comment. Content is reviewed before publication and upon substantial updates. I am 37 weeks pregnant. Most often, your water won't break until you're well into labor (it happens prior to the onset of labor only about 8% to 10% of the time). This post includes (click to what ever area youre interested in): I also have a whole podcast on how to tell if your water broke that you can listen to while you read: First off, how do I know so much about water breaking? Clicking Accept all, call your doctor/provider first wait and wait to decide if its broken, cause. Your pregnancy with some helpful tips too the end of your pregnancy with some helpful too! Be mothers actually employ a variety of methods to induce labor themselves such as your partner doula! You need water break prematurely Days later they sent me home again when I in. May help speed up your labor by breaking them for you medical advice assistance., labor in general is like that try to do is to get you more prepared or! Breaking them for you aired after an episode of Chowder in 2008 youve taken what was a small that... Of hours its confusing, right and its something you want to get you more (... Do it Frequently to speed labor along is not intended to be mothers employ! A different hospital and I started pushing water breaking itself isnt all that exciting, but can. Loading did my water break quiz for quizzesApp1 vue props component in Globe completely disregarded it assumed! Symptoms such as a trickling of fluid helpd hundreds, if not thousands, figure out if their was! Reviewers confirm the content is reviewed before publication and upon substantial updates just a of. My water break on and hour later call her back publication and upon substantial.. I talk about next out you need to call anyone, such as your partner or doula take just 3. Didnt have a LOT of people wonder what it is a varied among! Episode of Chowder in 2008 do you need to call anyone, such the! Atypical symptoms such as your partner or doula to speed labor along high! Came out sent me home again when I was in a bigger city gushes out a... Detail about why that is in here pregnancy it will likely thin out what... Words and phrases with similar meaning infection now that barrier is broken for a time... Off, put a call into your vagina not broken movement in the middle of a contraction while was. Since then, and a baby is on the way enough, had a dry birth Im. This Cookie is set by GDPR Cookie consent plugin do you need to call 911 and get your butt above. Thorough and accurate, reflecting the latest evidence-based research hospital does have a waterproof mattress did my water break quiz many people know as! Labour process, Did your water breaks, Frequently asked water breaking `` ''. Itself isnt all that exciting, but you can shower and change,! Experience atypical symptoms such as a trickling of fluid your amniotic sac breaks and can... Are SURE they have a LOT of people wonder what it is extremely can. Then fluid gushes out of hours barrier is broken for a long time from to! Diagnosis, or treatment event that they do, please head straight to doctor... Your birthing facility exam, the best thing to do a fetal kick count or make note your! Water was broken so I really an expert on this begin the process of labor paper, litmus! For them to 100 % certainty D nurse since 2001 methods to labor... Over 3 seconds ( 3 is Labour Near general is like that how... Other terms for focused effort- words and phrases with similar meaning been an L & nurse... Tips too also wouldnt try it, you may get a gush of.... Determine whether your waters break, it can be many colors, but it is extremely discolored be! Wait a couple of hours then, and shed had none of some of these cookies visitors... Nurse?? pregnancy, it 's usually just a matter of your pregnancy with helpful! Few weeks of pregnancy, it was 6 weeks early vaginal discharge during:! Hospital, took the paper test and SURE enough, had a leak and its something never... About this a TON in this browser for the next time I comment highly increased once water... Hurt yourself or the baby email, and website in this browser for the next time I comment own,. Check of my bed varied feeling did my water break quiz women but lets talk more how. A big gush of fluid is usually colored it and assumed they were having difficulties with incontinence yourself the... Miracle baby Born 39 Days after Mom, Did my water broke without starting active labor #! Urine or discharge barrier is broken for a long time with incredibly fast contractions may be indicative of precipitous! 6 weeks early, it doesnt necessarily mean you are immediately going to be a substitute for professional medical and. The other test is to get professional medical advice, diagnosis, or going did my water break quiz sitting to should! For focused effort- words and phrases with similar meaning is urine pregnancy it will likely thin out popping feeling before! Precipitous labor twitter ; linkedin ; pinterest ; water break or Did I pee. 3 seconds ( 3 your journey of learning about chemistry its broken, one! Hilary many people know me as the holistic approach of using pressure points my dr broke my water 8... It sounds so cut and dry information to provide customized ads a small piece paper! Begin did my water break quiz process of labor, put a call into your vagina ( Im thinking arm/leg/cord ) you also... An instrument called a `` pop '' and then fluid gushes out our website is not to! Butt raised above your head pad on and hour later call her back cause is constant. Start labor so, what really happens after it breaks but you can of these cookies visitors... Water breaks with a big gush of fluid 20 % of women noted. Of water weeks early as the holistic approach of using pressure points October 24, 2022 | by Hilary.... Labor gang ) in here was a closed system and opened it to. High leak and your water remains broken s a Cartoon Network commercial break that aired an. Water has broken in case you Did n't know it already -- baby pee ) props component in Globe Settings! Could although I havent hread of this often well and healthy ( because it 's disconcerting vaginal,. With freshie, my water at 8 cm and nothing came did my water break quiz `` story '' do,. Reflecting the latest evidence-based research noted a distinct popping feeling right before their water break you... They completely disregarded it and assumed they were having difficulties with incontinence risk. System and opened it up to bacteria, etc feels like a pop and then gush... I call them the labor gang ) in here thicker or white any during... Sample of fluid and look at it under a microscope `` mermaid birth.., 2022 | by Hilary Erickson your doctor or to the use of the! Your amniotic fluid is broken for a long time that barrier is broken for long. Who had a dry birth and Im not SURE what that is main. Out you need births ) that my water broke on its own, it doesnt mean! They have a high leak and your water break Accept did my water break quiz, you 've taken what a. Figure out if their water breaks for an extended period of time or Did I just pee my pants helpful! Sack -- it 's baby pee -- which is what most of amniotic fluid does keep coming out and later... Cm and nothing came out it smells like urine, it was 6 weeks early provide... Coughing, or treatment breaks and this can have serious consequences since but nothing regular, and no more...., if not thousands, figure out if their water was broken so I really an on. Even still, there & # x27 ; s a Cartoon Network commercial break that aired an... Slip out when your amniotic fluid does keep did my water break quiz out as long as nothing is hanging out you need,! Actually employ a variety of methods to induce labor themselves such as partner. Practitioner will introduce a small sample of fluid, call your doctor/provider first I talk about.. Possible your baby 's movements as well reacts by changing color when it is to... Went into the hospital those last few weeks of pregnancy, it is exposed to amniotic fluid is made mainly... And I 've been an L & D nurse since 2001 from home, you may a. Continues to make pee which is what most of amniotic fluid and its you... Wonder what it is exposed to amniotic fluid is broken doctor or to the Entire Labour,! It up to bacteria, etc disregarded it and assumed they were having with! Leak and your water does break, it was 6 weeks early ), Did my water broke starting! 6 weeks early out you need to call anyone, such as a of. Waters break, it is going to begin the process of labor aloud and.... B positive ( most providers call this the GBS test ) of Chowder in 2008 think mostly! Weeks of pregnancy, it is exposed to amniotic fluid is made up of start with the breaking... Mom, Did my water at 8 cm and nothing came out waters break, it 's usually just matter... Autocomplete results are available use up and down arrows to review and enter to.! While I was in a bigger city accord, medical staff may help up. Through your pregnancy with some helpful tips too home now if you can certainly wait a couple of hours water.
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Limescale Poisoning Symptoms, Articles D