Table 7.
The clinical course of women with a positive Amnisure test
| Case | GA at test (wks) | GA at Delivery (wks) | AF culture | AF MMP-8 | Cervical dilatation at test | Delivery mode | Clinical course |
|---|---|---|---|---|---|---|---|
| 1 | 29.9 | 29.9 | (−) | 0.3 | 0 | C/S | Placenta previa and massive vaginal bleeding with labor pain and fetal distress |
| 2 | 25.9 | 25.9 | (−) | 918.4 | 1 | VD | Clinical chorioamnionitis and spontaneous labor progression |
| 3 | 25.6 | 25.7 | (−) | 5304.8 | 2 | VD | Spontaneous labor progression |
| 4 | 25 | 25 | (−) | 7.0 | 2 | C/S | Spontaneous labor progression and breech presentation |
| 5 | 28.4 | 28.6 | (−) | 7.9 | 2 | C/S | Spontaneous labor progression and placenta previa |
| 6 | 19.3 | 19.4 | (−) | 49.3 | 5 | VD | Bag bulging and labor progression |
| 7 | 26.3 | 26.6 | (+) | 1574.3 | 0 | VD | Induction of labor because of suspicion of chorioamnionitis |
| 8 | 33.6 | 34 | (−) | 9.1 | 1 | VD | Spontaneous labor progression |
| 9 | 26.6 | 27.1 | (−) | 1988.9 | 1 | VD | Spontaneous labor progression |
| 10 | 25 | 25.7 | (−) | 744.1 | 2 | C/S | Spontaneous labor progression and breech presentation |
| 11 | 28.3 | 29 | (−) | 900.4 | 2 | C/S | Spontaneous labor progression and previous C/S |
| 12 | 21.9 | 23 | (+) | 3522.4 | 3 | VD | Spontaneous labor progression |
| 13 | 33.9 | 35.3 | (−) | 3.7 | 2 | VD | Spontaneous ROM at 35+1 weeks and induction of labor |
| 14 | 31 | 35 | (−) | 43.5 | 2 | VD | Spontaneous ROM at 35weeks and subsequent spontaneous labor progression |
| 15 | 32.7 | 41.3 | (−) | 0.5 | 0 | VD | Term delivery |
| 16 | 30.3 | 40.1 | (−) | 0.8 | 1 | VD | Term delivery |
| 17 | 17.4 | 35.1 | (−) | 1815.6 | 1 | VD | Induction of labor at 35 weeks because of suspicion of chorioamnionitis |
GA: gestational age, AF: amniotic fluid, MMP-8: matrix metalloproteinase-8, NA: not available, VD: vaginal delivery, C/S: cesarean section, ROM: rupture of membranes