Obstetrics Book

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Vaginal Pooling

Aka: Vaginal Pooling, Amniotic Fluid Pooling
  1. See Also
    1. Premature Rupture of Membranes
    2. Vaginal Fluid pH (Nitrazine Test)
    3. Ferning
    4. AmniSure ROM Test (PAMG-1 Protein Marker Test)
  2. Indications
    1. Evaluation for Premature Rupture of Membranes
  3. Technique
    1. Patient lies semi-recumbent for 45 minutes
    2. Consider elevating buttocks on cushioned pan
    3. Perform speculum exam after pooling for 45 minutes
  4. Interpretation
    1. Pooling of fluid suggests Rupture of Membranes
    2. If no fluid seen
      1. Apply gentle fundal pressure or have patient cough
      2. Fluid may be seen passing from cervical os

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