This phrase is typically used in medical or childbirth settings, not casually in conversation. When her waters broke, the midwife prepared for delivery.
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Urgency Connotation
Implies an immediate need for action, usually to get to a hospital or call a medical professional. Once her waters broke, they knew it was time to head to the hospital.
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Not an Idiom
It's a literal term for a physical event, not a metaphor or figure of speech. Sarah was surprised when her waters broke, as it was her first pregnancy.