Re: Fetal Fibronectin

From: fuf@ix19.ix.netcom.com
Mon Feb 2 20:21:32 1998


>In message <l03130300b0fb9ae75fff@[207.92.171.107]>, Gary Kleinman
><fuf@ix9.ix.netcom.com> writes

>>
>>very few...those "iffy" patients ..are they high risk or not? Are they
>>leaking amniotic fluid but too slow to detect? Are they just in false labor?
>>
>Isn't there ffn in amniotic fluid? Doesn't this mean the test is always
>posiitve if there is membrane rupture?
>Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt

ffn is a very sensitive (but not very specific) indicator for amniotic fluid. Rarely,I have seen 2nd trimester patients with unexplained oligohydramnios who are producing too little amniotic fluid to see on fern or nitrazene paper tests. Some of these patients dont even notice the leak. These are some of the patients for whom I request ffn...to help diagnose early ruptured membranes when other tests are non-diagnostic.

In the statement above, I intended to give examples of patients who might benefit from an ffn study. Sorry if it was confusing.

Gary

Gary E. Kleinman, M.D. Perinatologist/Geneticist Perinatal Center 3196 Maryland Parkway Las Vegas, NV 89109 702 732-9332





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