The combination of arborization, nitrizine and history was originally investigated in the 1960s, and found to have a diagnostic accuracy of 93.1%. Arborization has a false positive rate of 5-30%, and nitrizine has a false positive rate 17.4%. Comparatively, each individual test of the traditional speculum exam is not as sensitive or specific, with false testing from infections, mucous, semen and timing since rupture. Multiple studies have shown sensitivity of 99%, with high positive and negative predictive values. Teaching MomentДЄmnisure has been extensively studied, and is a great tool to detect rupture of membranes. *Amount charged by billing department at Medical University of South Carolina to insurance company. NST: $150 physician reading fee* + $395 facility fee* Hospital Exam Room visit: Level III physician visit, $278* Speculum exam and nitrazine testing: no lab charge NST: $150.00 physician reading fee* + $395.00 facility fee* Hospital Exam Room visit: Level III physician visit, $278.00*| Which test is technically more accurate, traditional speculum exam or Amnisure for rupture of membranes?.

The final assessment was that spontaneous rupture of membranes had not occurred and the patient was sent home with labor precautions.

The test returned after 45 minutes with a negative result. An Amnisure was inserted per manufacturerвЂ™s instructions. Her NST was reactive and no contractions were noted. Clinical Scenario BДЄ 26 y/o G1 female 37.5 weeks gestation presented to the hospital exam room after noticing her вЂњunderwear was wet.вЂќ She denied any contractions or bleeding, and endorsed good fetal movement. The final assessment was that spontaneous rupture of membranes had not occurred and the patient was sent home after 25 minutes with labor precautions. Nitrazine testing was negative and no arborization was noted on the slide. A speculum was placed, and showed no pool of fluid.

Congressional Leadership Conference (CLC)ДЄ 26 y/o G1 female 37.5 weeks gestation presented to the hospital exam room after noticing her вЂњunderwear was wet.вЂќ She denied any contractions or bleeding, and endorsed good fetal movement.

Rom plus rupture of membrane testing