Obstetrics Book

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Vaginal Fluid Ferning

Aka: Vaginal Fluid Ferning, Ferning
  1. See Also
    1. Premature Rupture of Membranes
    2. Vaginal Fluid pH (Nitrazine)
    3. Vaginal Pooling
    4. AmniSure ROM Test (PAMG-1 Protein Marker Test)
  2. Indications
    1. Evaluation for Premature Rupture of Membranes
  3. Technique
    1. Obtain fluid for exam (usually after Vaginal Pooling)
    2. Place sample on glass slide
    3. Allow sample to air dry for 10 minutes
  4. Interpretation
    1. Slide shows Ferning pattern under microscopy
  5. Efficacy
    1. Test Sensitivity: 98% when in labor (51% if not in labor)
    2. Test Specificity: 88% when in labor (70% if not in labor)
  6. Differential Diagnosis
    1. False positive for Ferning
      1. Cervical Mucus
      2. Semen
    2. False negative for Ferning
      1. Slide not allowed to dry 10 minutes
      2. Swab dry
      3. Contamination with blood
  7. References
    1. Bennett (1993) Am J Perinatol 10(2):101-4 [PubMed]

Cervical mucous arborization (C0334212)

Concepts Organ or Tissue Function (T042)
SnomedCT 27890004
LNC LP14745-1, MTHU001939
English ferning, Cervical mucous arborization, Ferning, Cervical mucous arborisation, Cervical mucous arborization (morphologic abnormality)
Spanish arborización del moco cervical (anomalía morfológica), arborización del moco cervical, aspecto en helecho del moco cervical
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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