![]() ![]() 7 However, this study has limited applicability in the United States, because of the difference in the healthcare delivery system structure and financing between the 2 countries. 1, 4– 6Īfter the completion of a cost–benefit study by the UK National Institute for Health and Care Excellence (NICE) of home use of amniotic fluid detection products, NICE endorsed the utilization of this technology in the community setting. 2 Several community-based studies and meta-analyses also have documented clinically meaningful positive and negative predictive values in the detection of amniotic membrane rupture in preterm and term pregnancies. 2 The overall agreement between the readings of the clinician and that of the patient was 97.40%, which supports the reliability of this wearable technology. 3īornstein and colleagues found a 95.65% sensitivity with the same panty liner technology in a study that compared the patients' readings of panty liner color with that of a trained clinician. For example, in the Indian community-based study by Madhu and colleagues conducted between 20, women at a mean gestation of approximately 37 weeks had a reassuring 93.61% negative predictive value for the rupture of amniotic membranes with the use of wearable amniotic fluid detector panty liners. 1– 3 These products are worn inside undergarments and selectively change color to identify amniotic fluid from other bodily fluids. Studies conducted in the United Kingdom, Israel, and India have assessed the effectiveness of wearable medical products marketed in the form of amniotic fluid detector panty liners. Pregnant women's inability to distinguish amniotic fluid leakage from other causes of vaginal wetness (such as urine or physiologic vaginal discharge) results in their seeking medical evaluation, which is often done in a costly setting, such as the emergency department or labor and delivery unit. 1 In many cases, rupture of the amniotic membranes results in copious watery discharge, making the diagnosis of amniotic fluid leakage clinically obvious however, more subtle presentations may also occur. The rupture of membranes occurs in an estimated 8% to 10% of full-term pregnancies. Providing a safe way for pregnant women to self-monitor suspected PROM for amniotic fluid leakage can reduce avoidable emergent care visits and save healthcare costs.ĭuring the later weeks of pregnancy, pregnant women are often concerned with suspected leakage of amniotic fluid, which, whether preterm or at term, requires evaluation and medical intervention. ![]()
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