Journals / Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi / 2019 / Cilt: 16 - Sayı: 4

Cervico-Vaginal Fibronectin in Prediction of Preterm Delivery

Pages
214–216
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The study support the fibronectin in vaginal fluid can be used for predict of preterm delivery in pregnant women at 24-34 weeks of gestation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To evaluate the roles of increased levels of fibronectin in vaginal fluid for prediction of preterm delivery Methods: Fibronectin levels of cervicovaginal fluid were measured in 73 consecutive pregnant women aged 24-34 weeks of gestation.
📊
Key Findings & Data:Results: Of the 73 pregnant women, 19 delivered preterm (26%) and 54 delivered at term (74%).
💡
Conclusion & Impact:Conclusion: The study support the fibronectin in vaginal fluid can be used for predict of preterm delivery in pregnant women at 24-34 weeks of gestation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:erken doğum · fibronektin · gebelik

Abstract

Aim: To evaluate the roles of increased levels of fibronectin in vaginal fluid for prediction of preterm delivery Methods: Fibronectin levels of cervicovaginal fluid were measured in 73 consecutive pregnant women aged 24-34 weeks of gestation. It was analyzed whether the level of fibronectin had predictive properties for preterm delivery. Results: Of the 73 pregnant women, 19 delivered preterm (26%) and 54 delivered at term (74%). For predicting preterm birth, cut-off values were determined using ROC (Receive Operating Characteristic Curve) curves and corresponding values. Cut-off value of fibronectin was determined to be 61.5 ng / mL and the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were 100%, 92.6%, 82.6% and 100% , respectively. Conclusion: The study support the fibronectin in vaginal fluid can be used for predict of preterm delivery in pregnant women at 24-34 weeks of gestation.

Özet

Amaç: Preterm doğumun öngörüsünde vajinal sıvıdaki artmış fibronektin düzeylerinin rolünü değerlendirmek Gereç ve Yöntem: Servikovajinal yıkama sıvısında fibronektin düzeyleri 24-34. haftalar arasında olan 73 ardışık gebede ölçüldü. Fibronektin düzeyinin preterm doğum için prediktif özelliklere sahip olup olmadığı analiz edildi. Bulgular: 73 gebe kadından 19'u (% 26) preterm ve 54'ü (% 74) miadında doğum yaptı. Erken doğumu öngörmede için, cutt-off değerleri ROC (Receive Operating Characteristic Curve) eğrileri ve karşılık gelen değerler kullanılarak belirlendi. Fibronektin için cut-off değeri 61.5 ng / mL olarak belirlendi ve duyarlılık, özgüllük, pozitif kestirim değeri (PPV) ve negatif kestirim değeri (NPV) sırasıyla% 100,% 92,6,% 82,6 ve% 100 idi. Sonuç: 24-34. haftalardaki gebe kadınlarda serviko-vajinal sıvıdaki fibronektin, preterm doğumu öngörmede kullanılabilir.

🔖

Cite This Article

ERDEM, B., KABAN, A., SEZER, S. (2022). Cervico-Vaginal Fibronectin in Prediction of Preterm Delivery. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, Cilt: 16 - Sayı: 4, 214–216. https://ajindex.com/articles/558660

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Spong CY. Defining “term” pregnancy: Recommendations from the defining “term” pregnancy workgroup. Vol. 68, Obstetrical and Gynecological Survey. 2013. p. 611–2
  2. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Vol. 371, The Lancet. 2008. p. 75–84
  3. Slattery MM, Morrison JJ. Preterm delivery. Vol. 360, Lancet. 2002. p. 1489–97
  4. Simhan HN, Caritis SN. Prevention of preterm delivery. N Engl J Med. 2007;357(5):477–87
  5. Slattery MM, Morrison JJ. Preterm delivery. Lancet. 2015;360(9344):1489–97
  6. Iams JD. Care for Women with Prior Preterm Birth. In: Preterm Birth: Prevention and Management. 2010. p. 115–29
  7. Hodgson EJ, Lockwood CJ. Preterm Birth: Prevention and Management - Google Books. Preterm Birth Prev {…}. 2010
  8. Esplin MS, Elovitz MA, Iams JD, Parker CB, Wapner RJ, Grobman WA, et al. Predictive accuracy of serial transvaginal cervical lengths and quantitative vaginal fetal fibronectin levels for spontaneous preterm birth among nulliparous women. JAMA - J Am Med Assoc. 2017;317(10):1047–56
  9. Ananth C V., Joseph KS, Oyelese Y, Vintzileos AM. Trends in preterm birth and perinatal mortality among singletons: united states, 1989 through 2000. Obstet Gynecol. 2005;105(5):1084–91
  10. Movahedi M, Saiedi M, Gharipour M, Aghadavoudi O. Diagnostic performance and discriminative value of the serum ferritin level for predicting preterm labor. J Res Med Sci. 2012;17(2):164–6
  11. Broumand F, Saeidkar S, Behrouzlak T, Khalkhali H, Sadeghi-Bazargani H. The diagnostic value of cervicovaginal and serum ferritin levels in midgestation time to predict spontaneous preterm delivery. Niger Med J. 2014;55(4):321–6
  12. Marvin KW, Keelan JA, Coleman MA, McCowan LM, Zhou RL, Mitchell MD. Intercellular adhesion molecule-1 (ICAM-1) in cervicovaginal fluid of women presenting with preterm labor: predictive value for preterm delivery. Am J Reprod Immunol. 2000;43(5):264–71
  13. Sunagawa S, Takagi K, Ono K, Miyachi K, Kikuchi A. Comparison of biochemical markers and cervical length for predicting preterm delivery. J Obstet Gynaecol Res. 2008;34(5):812–9
  14. Adhikari K, Bagga R, Suri V, Arora S, Masih S. Cervicovaginal HCG and cervical length for prediction of preterm delivery in asymptomatic women at high risk for preterm delivery. Arch Gynecol Obstet. 2009;280(4):565–72
  15. Guvenal T, Kantas E, Erselcan T, Culhaoglu Y, Cetin A. Beta-human chorionic gonadotropin and prolactin assays in cervicovaginal secretions as a predic