Version May 2024
| Diagnostic tests (one of the following): |
| Nitrazine and fern |
| Commercial assay (eg, AmniSure, Actim PROM, ROM Plus) |
| Assessments to consider after confirmation of membrane rupture: |
| Complete blood count |
| Rectovaginal culture for group B Streptococcus |
| Ultrasound examination for residual amniotic fluid volume; fetal growth, position, and anatomy; biophysical profile |
| Cardiotocography to monitor fetal heart rate (including a nonstress test) and frequency of uterine contractions |
| Testing for Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, and bacterial vaginosis by standard methods |
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