Digital vs. Speculum Exams for PPROM (MOCA)
PPROM
About this trial
This is an interventional other trial for PPROM focused on measuring PPROM, speculum exam, preterm birth, preterm prelabor rupture of membranes
Eligibility Criteria
Inclusion Criteria: 24 weeks 0 days gestation to 33 weeks 5 days gestation Clinical or laboratory confirmation of PPROM At least 8 hours and less than 72 hours of clinical stability after rupture event English speaking Exclusion Criteria: multiple gestations fetal surgery with entry into the amniotic sac this pregnancy contraindications to digital examination COVID-19 positive on admission
Sites / Locations
- Barnes Jewish HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Speculum Exams
Digital Exams
If a patient requires cervical evaluation after PPROM, their cervix will be evaluated with a sterile speculum exam. A sterile speculum with lubricating jelly will be inserted into the patient's vagina to visualize the cervix and visually estimate cervical dilation and effacement.
If a patient requires cervical evaluation after PPROM, their cervix will be evaluated with a digital exam. The provider will wear sterile gloves with lubricating jelly and will palpate the cervix to assess cervical dilation, effacement, and station.