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Preterm labor test viable in real world environment.(Obstetrics)
MIAMI BEACH -- A rapid fetal fibronectin test safely and effectively predicts the likelihood of preterm labor in a private hospital setting, according to a presentation at the annual meeting of the Society for Maternal-Fetal Medicine.
"The value of the test is if it is negative, it's highly unlikely they'll deliver in the next 2 weeks," Dr. William M. Gilbert said. "You can tell [women who have] contractions that they have a 99.5% chance of not delivering in the next 2 weeks. So you can send them home."
Previously, the test was validated only at research institutions. The investigators chose the "real world" setting of a large, private practice hospital because "many more hospitals are private practice than research hospitals," Dr. Gilbert said in an interview at his poster presentation.
Dr. Gilbert, principal investigator Dr. Herman L. Hedriana, and their associates administered the preterm labor management test to 502 women. All the women were symptomatic with contractions, intact membranes, and gestations of fewer than 37 weeks. The researchers assessed safety and efficacy over 2 years following the adoption of a standard protocol for administering the test in April 2000 at Sutter Memorial Hospital in Sacramento.
Physicians collected a fetal fibronectin sample during sterile speculum examinations. Results were available within 1 hour. A total of 80 women (16%) tested positive. Positive ...
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Source: HighBeam Research, Preterm labor test viable in real world environment.(Obstetrics)