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Published on May 1, 2012 | http://doi.org/10.5867/medwave.2012.04.5347

Fetal fibronectin as a predictor of labor in Mexican women

Fibronectina fetal como predictor del trabajo de parto en mujeres mexicanas

Mario I. Ortiz, Alejandra Trejo-Miranda, José de J. García-Corrales, Luis A. Chavarría-Bautista

Abstract

Background: The presence of fetal fibronectin in vaginal secretions has been regarded as a predictor of labor in pregnant term and preterm. Objective: For this reason the purpose of this study was to evaluate the predictive validity of fibronectin in pregnant women who attended the General Hospital SSH Pachuca, Hidalgo, Mexico. Methodology: We included pregnant patients admitted to hospital for pregnancy control. Fetal fibronectin was determined in all participants and then followed until the onset of labor. Results: A total of 148 patients participated. One group with 53 patients less than 37 weeks gestation, and another group of 95 patients with 37 or more weeks gestation. In general, the test showed an average sensitivity of 72.5% and specificity 82.9% average for both groups. Conclusion: Based on these results, we recommend using fibronectin test in pregnant women after 32 weeks of gestation, both in emergency departments and outpatient clinics.

This work is licensed under a Creative Commons Attribution 4.0 International License. Esta licencia permite el uso, distribución y reproducción del artículo en cualquier medio, siempre y cuando se otorgue el crédito correspondiente al autor del artículo y al medio en que se publica, en este caso, Medwave.

Authors

Mario I. Ortiz

Área Académica de Medicina del Instituto de Ciencias de la Salud de la Universidad Autónoma del Estado de Hidalgo, Pachuca, Hidalgo, México

Alejandra Trejo-Miranda

Hospital Obstétrico de la SSH, Pachuca, Hidalgo, México

José de J. García-Corrales

Hospital General de la SSH, Pachuca, Hidalgo, México

Luis A. Chavarría-Bautista

Hospital del Niño DIF Hidalgo, Pachuca, Hidalgo, México

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Citation Ortiz MI, Trejo-Miranda A, García-Corrales JJ, Chavarría-Bautista LA. Fetal fibronectin as a predictor of labor in Mexican women. Medwave 2012;12(04):e5347 doi: 10.5867/medwave.2012.04.5347

Submission date 04/02/2012

Acceptance date 15/03/2012

Publication date 01/05/2012

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Keywords

fibronectina, trabajo de parto, sensibilidad, especificidad, embarazo, fibronectin, labor, sensitivity, specificity, pregnancy.

Origin and peer review

con revisión externa por 3 revisores, a doble ciego

References

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