Preterm Premature Rupture of Fetal Membranes
Conditions
Keywords
placental alpha microglobulin-1, AmniSure, preterm, rupture of fetal membranes
Brief summary
The investigators will test the hypothesis that in a preterm population with a gestational age of 16+0 and 36+6 weeks AmniSure PAMG-1 rapid immunoassay will be more accurate than conventional methods (speculum examination for combination of pooling, nitrazine and ferning) for the detection of Preterm Prelabour Rupture of Membranes (PROM).
Detailed description
Prior studies of AmniSure have included a heterogeneous population of women with preterm and term pregnancies.10-12 No study to date has specifically addressed and been powered to detect the efficacy of AmniSure in pregnancies between 16+0 and 36+6 weeks. The objective of the proposed research is to evaluate the usefulness of AmniSure PAMG-1 rapid immunoassay in the evaluation of preterm prelabour rupture of membranes (PPROM) compared to standard detection of PPROM with a speculum examination for combination of pooling, nitrazine and ferning.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* women presenting to assessment at the labour and delivery unit at RUH with suspected PPROM between 16+0 and 36+6 weeks gestation * consent to enrollment
Exclusion criteria
* vaginal bleeding * active labor (cervical dilation \> 2 cm or effacement \> 80%) * multiple pregnancy * fetal anomalies * placenta previa * fluid loss per vagina \> 7 days * prior inclusion in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| accuracy of Amnisure vs conventional testing for PPROM | up to 24 weeks | After delivery, the charts will be reviewed and information will be used to determine the final diagnosis of membrane status as ruptured or intact on initial presentation and will be used to evaluate the accuracy of the AmniSure test results. |
Countries
Canada