Sign in →

Test Code ROM.1 Rupture of Fetal Membranes, ROM

Important Note

  1. The proper collection of the patient sample is critical in obtaining accurate test results. 
  2. The sample must be tested within 6 hours of collection.
  3. Contact the laboratory for proper collection kit.
  4. Specimen stable for 6 hours. 

Methodology

The ROM Plus test is a rapid, non-instrumented, qualitative test for the detection of amniotic fluid in the vaginal discharge of pregnant patients who report signs, symptoms or complaints suggestive of rupture of membranes. 

 

The test uses the principle of immunochromatography to detect human placenta protein-12 (PP12) and Alpha-feta Protein (AFP) present in the amniotic fluid of pregnant women.

Specimen Requirements

Container/Tube: ROM Plus Collection Kit-Hematology Department, x2396

Collection Instructions: Use ROM Plus Collection Kit, along with an ROM PlusTest Report Sheet, and submit to lab ASAP.

 

Specimen stable for 6 hours, ambient. 

        

 

ROM Plus Test Report Sheet

Specimen Rejection

  • Sample too bloody (greater than 10% blood present).
  • Sample/buffer vial is received for testing with improper or no patient name, MR# or DOB, or without patient label.
  • Sample/buffer vial received for testing without collection time documentation.
  • Sample/buffer vial received for testing after 6 hours from collection time.
  • Sample/buffer vial received in the laboratory but testing not performed within 6 hours.
  • Sample/buffer vials received without the swab left in the vial.

Reference Values

Negative - No rupture of membranes

Specimen Transport Temperature

Ambient

CPT Code Information

84112