Diagnostic value of cervical fetal fibronectin in detecting extrauterine pregnancy.

Abstract:

OBJECTIVE:To determine whether fetal fibronectin (FFN) might serve as a marker to distinguish intrauterine versus extrauterine pregnancy. DESIGN:Prospective cohort study. SETTING:Academic research center. PATIENT(S):Cervicovaginal FFN samples were obtained from 46 women who were at high risk for or presented with signs and/or symptoms of extrauterine pregnancy. INTERVENTION(S):Samples of blood were analyzed for FFN with use of an enzyme-linked immunoabsorbent assay (ELISA). MAIN OUTCOME MEASURE(S):Fetal fibronectin level. RESULT(S):The rate of extrauterine pregnancy in our study was 26.1%, with 12 extrauterine and 34 intrauterine pregnancies identified by ultrasonography or at time of surgery. Seventeen samples had FFN levels of > 50 ng/mL and were considered positive (range, 0-1,000 ng/mL). Positive FFN levels were observed in 41.7% (5 of 12) of women with extrauterine pregnancies versus 35.3%) (12 of 34) of women with intrauterine pregnancies. The sensitivity, specificity, and positive and negative predictive values for extrauterine pregnancy were 41.7%, 64.7%, 29.4%, and 75.9%, respectively. CONCLUSION(S):The use of FFN does not appear to alter significantly the likelihood of identifying extrauterine pregnancy over current laboratory or ultrasonographic methods.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Nowacek GE,Meyer WR,McMahon MJ,Thorp JR,Wells SR

doi

10.1016/s0015-0282(99)00224-1

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

302-4

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(99)00224-1

journal_volume

72

pub_type

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