brynnelizabeth

I felt as if the amnisure is being considered the final say and golden standard. We don't do the fern test and I'd be interested to learn more about it. I'll start some research and see if we can't make some sort of procedure. I am just someone that wants a final iron clad answer/way to truly determine ROM. I do like the idea of the wearing the pad and just sitting on her for obs to make sure.

What is your rule of thumb for determining true ROM? Hypothetical situation: Patient comes in at 38weeks c/o possible rupture 8 hours earlier with no other discharge. Nitrizine positive/questionable. Amnisure negative. No contractions. 1/50/-2. No pooling of fluid in lady parts or smell of amniotic fluid. Any evidence backed articles would be appreciated or what policies you have regarding this.