In the case of PROM, blue dye can be seen on a stained tampon or pad after about 15–30 minutes. This method can be used to definitively make a diagnosis, but is rarely done because it is invasive and increases risk of infection. But, can be helpful if the diagnosis is still unclear after the above evaluations have been done.It is unclear if different methods of assessing the fetus in a woman with PPROM affects outcomes. False positives
Like amniotic fluid, blood, semen, vaginal secretions in the presence of infection, soap, urine, and cervical mucus also have an alkaline pH and can also turn nitrazine paper blue. Cervical mucus can also make a pattern similar to ferning on a microscope slide, but it is usually patchy and with less branching. Differential diagnosis
Other conditions that may present similarly to premature rupture of membranes are the following:
Urinary incontinence: leakage of small amounts of urine is common in the last part of pregnancy
Normal vaginal secretions of pregnancy
Increased sweat or moisture around the perineum
Increased cervical discharge: this can happen when there is a genital tract infection
Semen
Douching
Vesicovaginal fistula: an abnormal connection between the bladder and the vagina
Loss of the mucus plug

Prevention
Women who have had PROM are more likely to experience it in future pregnancies. There is not enough data to recommend a way to specifically prevent future PROM. However, any woman that has had a history of preterm delivery, because of PROM or not, is recommended to take progesterone supplementation to prevent recurrence.
Excoriated acne  is a mild acne accompanied by extensive excoriations caused by the person picking at the pimples (that is, scratching or squeezing them). See also
List of cutaneous conditions

References


== External links ==