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Another Fetal Fibronectin Question

From: Kerri (anonymous@obgyn.net)
Thu, 2 Jan 2003 23:22:51 -0600 (CST)


I delivered my daughter (now 22 months old) at 35 weeks due to preterm labor and am therefore considered high risk. I am now 34 weeks pregnant with #2 and again contracting a lot. Therefore, my OB has been performing fFn tests every other week which have thus far been negative. I recently had to switch doctors because my OB has to have surgery... he turned me over to a perinatologist. She took a fetal fibronectin test on me today. I was a bit disturbed by the fact that she used lubricant on the speculum. My understanding has always been that you aren't supposed to use any lubricant (my OB never does!) because it can give a false negative result. I asked her and she said that the lubricant doesn't go anywhere near the cervical fornix and doesn't get on the swab.

She is a perinatologist, so I feel like I should trust her, but I am worried because EVERYTHING I read contraindicates the use of lubricant on the speculum. I would hate to be reassured by my negative result if it is false. Should I request being retested without lube, or should the result be accurate? I'd really hate to second guess a specialist unnecessarily!

Thanks so much!

--
Kerri



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