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Rupture of Fetal Membranes Test
MessageTest performed at York Hospital Laboratory.
Test Code
ROM
Alias/See Also
Rupture of fetal membranes.
CPT Codes
84112
Preferred Specimen
Vaginal discharge collected using sterile vaginal swab submitted in ROM collection kit vial.
Instructions
Obtain Amnisure ROM kit from the laboratory.
1. Collect the sample from the vaginal surface while the patient is lying flat on her back. Insert the tip of the swab into the vagina no more than 2-3 inches deep.
2. Withdraw the swab from the vagina after 15 seconds.
3. Place the swab into the solvent vial and rinse the swab by rotating for 15 seconds.
4. Break swab off at scored mark, leaving swab tip in the vial and disposing of remaining portion of swab stick.
1. Collect the sample from the vaginal surface while the patient is lying flat on her back. Insert the tip of the swab into the vagina no more than 2-3 inches deep.
2. Withdraw the swab from the vagina after 15 seconds.
3. Place the swab into the solvent vial and rinse the swab by rotating for 15 seconds.
4. Break swab off at scored mark, leaving swab tip in the vial and disposing of remaining portion of swab stick.
Transport Container
ROM collection kit.
Transport Temperature
Room temperature
Specimen Stability
Room temperature: 6 hours
Refrigerated: unacceptable
Frozen: unacceptable
Refrigerated: unacceptable
Frozen: unacceptable
Methodology
Immunochromatography
Setup Schedule
Daily
Report Available
Same day
Limitations
Significant presence of blood on the swab can interfere with the test and is not recommended.
Reference Range
Negative
Clinical Significance
This test detects amniotic fluid in vaginal secretions of pregnant women aiding in the diagnosis of rupture of fetal membranes.
