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Re: AmniSure ROM Test From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Tue Mar 21 05:34:26 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G MAJ 48 MDOS/SGOBO: "Nubain" Previous message: Ethan Rosenberg: "PTL Survey" In reply to: Irene Nobel: "AmniSure ROM Test" At Mon, 13 Mar 2006, Irene Nobel wrote: > >I see that hospitals are adopting the new AmniSure ROM Test in droves >these days. The two recent publications on the company's website >(http://amnisure.com/about.html) talk about AmniSure as a ~99% accurate >pRPOM and PROM test. In addition, it’s the only test that doesn’t >require speculum exam, which is a big plus. > >Is anyone here using AmniSure as one test for all incidents of ROM >(including sub-clinical ruptures)? It seems logical to stop using >Nitrazine, fern, pooling etc if we bring in AmniSure. You comments will >be greatly appreciated. Promising Test, I see it being used in cases of small volume leaks with gestational ages less than 32 wks where in non tertiary centers you are looking at a costly transfer if the Query SROM is accompanied even by mild contractions. As for use in term Srom at $40.00 U.S. a pop I don't think so, term SROM is not the end of the world and treating a few false positives does relatively little harm, I have seen false negatives at term with bad outcomes in almost all cases it was because the patient was poorly instructed about returning for further testing. Now it will very likely be that the test will be in the $10 range in the future in which case it would make sense to use in term cases of low volume leaks. We do ferning with a cheap microscope in the D.R. I don't think nitrazine sticks are forty bucks a pop. -- Take care, John Next message: Elrod, Darryl G MAJ 48 MDOS/SGOBO: "Nubain" Previous message: Ethan Rosenberg: "PTL Survey" In reply to: Irene Nobel: "AmniSure ROM Test"

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