Online Amniotic Fern Test Form
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People also ask
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What is Nitrazine and fern test?
Both of these tests are extensively used by clinicians to detect the presence or absence of amniotic fluid after rupture of the membranes. All studies that have been previously reported have included samples from vaginal pooling.
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Is fern test amniotic fluid the same as cervical mucus?
Centrifugation permits the reappearance of fern-leaf crystallization. The typical image resembles that of the crystallization of cervical mucus. However, amniotic fluid crystallizes on the entire smear, whereas mucus crystallizes in a linear fashion. Cervical mucus crystallization is normally absent during pregnancy.
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How accurate is the fern test?
Additionally, the accuracy of ferning is markedly less in women who are not in labor as compared to those in labor, with a reported sensitivity and specificity of 51% and 70%, respectively, in patients without labor and 98% and 88%, respectively, in patients in labor.
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What is the alternative to the fern test?
In the present study, the PMAG-1 immunoassay alone has an overall sensitivity of 97.5%, specificity of 100%, PPV of 100%, and NPV of 75.0%. Hence, it is superior to nitrazine test or fern test alone as well as in combination (conventional standard diagnostic methods) (Table 2).
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How to test for ferning with amniotic fluid?
Examine the air-dried smear under the microscope without a coverslip and using low power magnification (10x magnification). I. Dried amniotic fluid produces a microscopically visible crystallization in a “fern” pattern. Dried normal vaginal fluid does not produce a “fern” pattern.
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What is the sample for the fern test?
Using a sterile cotton swab, obtain a sample of the vaginal secretion from the posterior vaginal pool. Smear a thin layer of the fluid obtained on the center portion of a clean glass microscope slide. Allow the slide to air dry for at least 5 – 7 minutes.
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What is the most sensitive test to confirm rupture of membranes?
A rupture of membranes protocol combining AmniSure and clinical assessment had a sensitivity of 98.2%, specificity of 99.5%, positive predictive value of 100.0%, and negative predictive value of 100.0%.
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How accurate is the fern test for amniotic fluid?
YES. The presence of arborized crystals (ferning) in amniotic fluid is both sensitive (74%-100%) and specific (77%-100%) for diagnosing rupture of membranes in laboring women who report loss of fluid (strength of recommendation [SOR]: A, multiple prospective cohort studies).
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