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ROM Plus*

Important Note

*This test is orderable in Cerner as ROM Plus and replaces the Amnisure test

The ROM Plus test is a rapid, non-instrumented, qualitative test for the in vitro detection of amniotic fluid in vaginal secretions of pregnant women.

While both the Amnisure and ROM Plus are useful tests for fetal membrane rupture, the ROM Plus detects both Alpha-fetoprotein (AFP) and Insulin like growth factor-binding protein 1 (IGFBP-1) using a monoclonal/polyclonal antibody approach, improving the sensitivity.

ROM Plus is performed in the Birthing Center and all positive results are considered critical and will be called to the floor.

Specimen Requirements

Specimen Type: Vaginal
Container/Tube: Sterile Swab from Kit
Specimen Volume: Entire specimen
Collection Instructions: The sample is collected by placing the swab into the vaginal cavity for 15 seconds. The swab is then mixed into a vial containing 400 μL of buffer solution and sent to the lab for testing.

Performing Laboratory

Rutland Regional Medical Center Laboratory

Reference Values

Resulted as positive or negative

Day(s) Performed

Daily

Available STAT

Analytical Time:

1 hour

Methodology

Qualitative immunochromatographic test

Test Classification and CPT Coding

CPT 82731

LOINC: IGFBP=69945-4 and AFP=19171-8

 

Specimen Transport Temperature

Sample stability after collection: Up to 6 hours