Clinical inquiry: Ferning in amniotic fluid: is it a useful indicator of ruptured membranes?

نویسندگان

  • Heidi Gaddey
  • Justin Bailey
  • Rita F Smith
چکیده

yes. The presence of arborized crystals (ferning) in amniotic fluid is both sensitive (74%-100%) and specific (77%-100%) for diagnosing rupture of membranes in laboring women who report loss of fluid (strength of recommendation [SOR]: A, multiple prospective cohort studies). However, it is much less sensitive and specific for women with fluid loss who aren’t in labor (SOR: B, 1 prospective cohort study). Gross contamination of amniotic fluid with blood or antiseptic solutions may decrease the diagnostic accuracy of ferning, whereas contamination with meconium doesn’t (SOR: C, bench research).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

BLOODY DISCHARGE IN THE CONSERVATIVE MANAGEMENT OF PREMATURE RUPTURE OF MEMBRANES AS AN INDICATOR OF AMNIOTIC BAND SYNDROME

In this case report, it is our purpose to relate our findings concerning bloody discharge as an ominous sign in the conservative management of premature rupture of membranes, (PROM) as well as to present relevant findings of the amniotic band syndrome such as amputation of one leg, constriction rings in two fingers, and pseudosyndactyly in the toes of the remaining foot in a 28 week old ne...

متن کامل

بررسی تاثیر آنتی بیوتیک پروفیلاکتیک در کاهش عفونت ناشی از وجود مکونیوم در مایع آمنیوتیک در مادران بعد از عمل سزارین

Introduction & Objective: Meconium passage occurs in 10-20% of all deliveries and in as many as 40% of post-term pregnancies. Previous studies have shown an association between meconium and maternal infection, Also, in the presence of meconium, enhanced bacterial growth and inhibition of neutrophil bactericidal activities has been reported. This study was to determine the rate of post cesarean ...

متن کامل

Intra-Amniotic Infection/Inflammation as a Risk Factor for Subsequent Ruptured Membranes after Clinically Indicated Amniocentesis in Preterm Labor

The aim of this study was to determine whether intra-amniotic infection/inflammation (IAI) was associated with subsequent ruptured membranes in women with preterm labor and intact membranes who had a clinically indicated amniocentesis. This retrospective cohort study included 237 consecutive women with preterm labor (20-34.6 weeks) who underwent amniocentesis. The clinical and laboratory parame...

متن کامل

A transcervical amniotic fluid collector: a new medical device for the assessment of amniotic fluid in patients with ruptured membranes.

AIM To describe a new device for the transcervical collection of amniotic fluid (AF) in patients with ruptured membranes, and to compare the concentration of proteins in fluid retrieved by transabdominal amniocentesis and the transcervical AF collector. STUDY DESIGN Paired AF samples were collected in patients with preterm prelabor rupture of membranes (PROM) (n=11) by transabdominal amniocen...

متن کامل

Biochemical evaluation of amniotic fluid during different stages of gestation in the goat

To study changes in concentrations of some biochemical factors of amniotic fluid, 115 normal goat uteri at different stages of pregnancy were collected from slaughterhouse. After expelling of each fetus accompanied by fetal membranes, 10 ml amniotic fluid was taken from amniotic sac for biochemical analysis. Then approximate ages of fetuses were calculated by using age estimation formula. At fi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of family practice

دوره 60 12  شماره 

صفحات  -

تاریخ انتشار 2011