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Re: Fetal FibronectinFrom: Aaron M Mendel (amendel@juno.com)Fri Apr 18 11:34:50 1997
On Wed, 16 Apr 1997 12:40:31 -0500 funaie@is4.nyu.edu (Edmund F. Funai, MD) writes: >> >-- >See my posting of 4/15 regarding the negative predictive value >of the test, which is excellent. You can contact Matria for a kit >and the results should be available in about 48 hrs. The positive >predictive value is low (about 12-25%) but home uterine monitoring or >terbutaline pump therapy may be medicolegally prudent in the face of >a positive test and a compliant insurance carrier. > Regarding Fetal fibronectin: I'm concerned that we may be too quick to jump on the fibronectin band wagon. a good negative predictive value may be no better than our knowledge that there is already a relatively low chance of preterm delivery. I 'm wary about using a poor test (low positive predictive value) as the indication for using questionable therapies ( terb pump and HUAM) . thanks for letting me chime in. Aaron AMendel@juno.com
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