Rupture of Membranes Flashcards
1
Q
Definition of premature rupture of membranes (PROM)
A
ROM occurring at >18 hrs before labor
baby is term, mom isn’t ready yet
2
Q
What is PPROM?
A
ROM occurring before 37 wks GA
baby isn’t ready, mom isn’t ready either
3
Q
What tests are used to confirm ROM?
A
POOLING: collection of fluid in vaginal vault
NITRAZINE: blue color change due to the alkalinity of amniotic fluid
FERNING: estrogens causing crystallization of salts in amniotic fluid when it dries (Note: do not sample fluid directly from cervix)
Oligohydramnios (especially if fluid was normal)
INDIGO CARMINE Dye injection via Amniocentesis (look for leakage of fluid from cervix onto tampon)
AMNISURE: identifies placental alpha-macroglobulin-1 via immunoassay which is sensitive and specific
