Pregnant women usually screened for GBS at 35-37 weeks gestation, are at risk of infections for both mother and baby. To mitigate these risks, GBS-positive mothers receive antibiotics during labor. At Ms. Symington’s May 20 appointment, documented by Defendant Deborah Suppes, she showed increased swelling in her ankles, feet, and legs, alongside green/yellow vaginal discharge. On May 23, 2016, at just over 37 weeks pregnant, Ms. Symington arrived at NHC’s Labor and Delivery unit, having leaked clear, watery fluid since early morning, with occasional contractions. Defendant Mickelson assessed her for potential rupture of membranes, ordering an AmniSure test which returned negative. Ms. Symington was sent home with a scheduled follow-up in four days. There's a heightened risk of ascending infections when the amniotic sac ruptures prematurely, termed PROM. Diagnosis typically involves visual inspection or amniotic test kits, such as AmniSure. Leakage may vary from intermittent to a constant trickle, impacting the fetus’s umbilical cord and potentially necessitating prompt delivery to prevent complications. On June 4, 2016, M