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UTMB POINT OF CARE TESTING PROCEDURES POLICY Fern Test -Amniotic Fluid Crystallization Test PPMP-PROVIDER PERFORMED MICROSCOPY PROCEDURES Policy Page 1 of 6 Effective: Reviewed: 6/99 2/09 Fern Test-.

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Fern test has also 13-30% false negative and 5-30% false positive results (13, 14). “Several studies have been conducted to find a definite, easy, noninvasive and reliable diagnostic test for PROM in recent years” (18). These studies have mainly focused on biochemical agents with high concentration in amniotic fluid.

False positive results are mostly attributable to cervical mucus, though have been reported due to semen and fingerprints, while false negatives are attributable to inadequate fluid available at the time of specimen collection, or contamination from leukorrhea, blood or meconium.

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.

False negative tests results can occur when leaking is intermittent or the amniotic fluid is diluted by other vaginal fluids. False positive results can be due to the presence of alkaline fluids in the vagina, such as blood, seminal fluid, soap, or some infections.

Ferning had a mean sensitivity of 96% (range, 74%-100%) and a mean specificity of 96.2% (range, 77%-100%). A prospective cohort study evaluated the sensitivity and specificity of ferning among women reporting fluid loss who were in labor compared with women who weren't in labor.

Using a sterile cotton swab, collect a sample of fluid from the vaginal fornix. – Avoid the cervix as cervical mucus will yield false positive results. Roll the cotton swab on a clean glass microscope slide. Allow slide to air dry completely before examination under microscope.

The diagnosis of rupture of the membranes by traditional methods of nitrazine paper determination and fern crystallization has been reported to be 93-98% accurate.

Ferning was 98% sensitive and 88.2% specific in laboring women, and 51.3% sensitive and 70.5% specific in nonlaboring women. A prospective case series (N=400) determined that amniotic fluid would fern at all gestational ages between 14 and 41 weeks.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232