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Am J Perinatol 2006; 23(6): 351-354
DOI: 10.1055/s-2006-947159
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Nonintrusive Diagnosis of Premature Ruptured Amniotic Membranes Using a Novel Polymer

Jacob Bornstein1 , Adam Geva2 , Ido Solt1 , Vladimir Fait1 , Alex Schoenfeld3 , Hadar Kessary Shoham4 , Jack Sobel5
  • 1Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, and the Rappaport Faculty of Medicine, Technion University, Haifa, Israel
  • 2SBC Women's Health Centers of Lin, Haifa, Israel
  • 3Tel Aviv University Medical School, Tel Aviv, Israel
  • 4Common Sense, Caesarea, Israel
  • 5Division of Infectious Diseases, Wayne State University, Detroit, Michigan
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Publikationsdatum:
13. Juli 2006 (online)

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ABSTRACT

This article describes the evaluation of the diagnostic efficacy of AL-SENSE panty-liner in detecting premature rupture of membranes (PROM). One hundred and three women attending the labor and delivery ward were enrolled into three groups: women presenting with a vaginal leak of fluid who had not yet been examined; women with overt PROM, and women with no fluid leak. The result of the AL-SENSE strip test was compared with the clinical diagnosis, which was based on direct visualization of the posterior vaginal fornix and cervix, crystallization, and nitrazine tests. AL-SENSE panty-liner test had a sensitivity of 100% and a specificity of 75% in detecting PROM, with an overall agreement of 82.35% between the AL-SENSE test result and the clinical diagnosis. AL-SENSE may be used as a reliable test to rule out PROM and as an effective device to diagnose PROM and differentiate it from urine leak and vulvovaginal candidiasis.

KEYWORDS

Premature rupture of membranes (PROM) - diagnosis - chorioamnionitis - polymer - panty-liner - pH - nitrazine - ferning - AL-SENSE

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 Professor
Jacob BornsteinM.D. M.P.A. 

Chairman, Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya

P.O. Box 21, Nahariya 22100, Israel

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