Does the use of fetal fibronectin in an algorithm for preterm labor reduce triage evaluation times?

Gene T. Lee, Richard Burwick, Noelia Zork, Siri Kjos

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: To determine the effectiveness of a novel algorithm based on fetal fibronectin (FFN) for management of preterm labor (PTL). Methods: A randomized trial was performed on patients who presented with symptoms of PTL at 24-34 weeks. Patients were randomized to algorithms with cervical exams only versus cervical exams plus FFN. In this algorithm, physicians had to discharge patients with a negative FFN result. The primary outcome was the evaluation time for triage. The secondary outcomes were admission to the hospital for PTL, preterm birth <34 weeks and preterm birth <37 weeks. Results: A total of 76 patients were enrolled and randomized (control n=32, FFN n=44). There were no differences in triage time, hospital admissions or preterm deliveries (PTDs) between the two groups. Conclusion: An algorithm based on FFN for management of PTL does not reduce evaluation times for triage, hospital admissions or PTDs.

Original languageEnglish (US)
Pages (from-to)706-709
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume26
Issue number7
DOIs
StatePublished - May 1 2013

Keywords

  • Algorithm
  • Evaluation time
  • Fetal fibronectin
  • Preterm labor

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Does the use of fetal fibronectin in an algorithm for preterm labor reduce triage evaluation times?'. Together they form a unique fingerprint.

  • Cite this