الفهرس 
The fetal MembranesOnly 14 pages are availabe for public view
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Abstract
PROM is defined as spontaneous rupture of the fetal membranes before the full cervical dilatation, whether at term or preterm. The overall incidence of PROM is 2.7% to 17% of all pregnancies.
The exact pathophysiology of PROM is not well defined, but the currently accepted postulation is that of reduced fetal membrane strength, mostly due to unnoticed infection that will eventually lead to its rupture.
Diagnosis of PROM has instituted a clinical dilemma over the time due to the lack of a diagnostic test with accepted accuracy. The gold standard in diagnosing PROM is visualizing the passage of liquor through the external cervical os during a speculum examination, which is not always possible in cases of PROM. However, vaginal washings β-HCG may be helpful in diagnosis of PROM because it is present in amniotic fluid due to direct diffusion from placenta.
The current study was designed to assess theroleof qualitative pregnancy test and quantitativemeasurementof β-HCG in vaginal washing fluid for diagnosis of PROM.
Ninety pregnant females 24-40 weeks of gestation were recruited from Obstetrics and Gynecology Department in Tanta University Hospital. The patients in this study were divided into three groups; the first group included thirty pregnant females with confirmed PROM,