A 26-year-old primigravida at 36 weeks of gestation presents to the GP with a 5-day history of watery vaginal discharge. She is unsure whether her mem...

Question

A 26-year-old primigravida at 36 weeks of gestation presents to the GP with a 5-day history of watery vaginal discharge. She is unsure whether her membranes have ruptured. She has no contractions and fetal movements are normal. A speculum examination at the maternity unit does not show pooling of liquor. An insulin-like growth factor binding protein-1 (IGFBP-1) test is negative. What is the most likely explanation?

Accepted Answer

Increased physiological vaginal discharge in the third trimester

Answer

Confirmed rupture of membranes with resealing

Answer

Urinary incontinence

Answer

Bacterial vaginosis

Answer

Cervical incompetence with slow leakage

uk-drcog MCQ (SBA): Physiological Vaginal Discharge vs SROM