Re: OB: Fetal Fibronectin

From: Andrew Folley (agfolley@hotmail.com)
Tue Dec 13 16:33:20 2005


Garry I have been doing it this way for the past 18 months. Maily because it made no sense to me as to why it had to be a sterile speculum exam. I simply place the swab in the posterior fornix and rotate for 10 seconds. There is one study out of NYC or Yale from 2003 that looked at "blind fFn" and they found no problems. The sterile spec recommendation is because that was how the original studies were done to get FDA approval I believe. Taking the speculum out of the picture allows the L& D nurses to do the fFn check as well which is very convenient. andy

>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: OB: Fetal Fibronectin
>Date: Tue, 13 Dec 2005 12:25:12 -0600
>
>I just heard that doing a fibronectin via a vaginal swab (as opposed to
>a speculum exam) is just as valid. I'll do some research on it, but has
>anyone heard of this?
>
>If valid, the ability of the L and D RN to do a fibronectin swab, put it
>aside, and then do a vaginal exam would be a plus.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA





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