BACKGROUND: The objective of the study was to determine the likelihood of delivery given a positive or negative rapid fetal fibronectin test result in symptomatic pregnant women in a Philippine tertiary hospital. Another objective was to determine if the likelihood of delivery is increased when fetal fibronectin is combined with cervical length assessment.

METHODS: Medical records from 2009 to 2012 of patients between 24 weeks and 34 weeks and 6 days gestation with symptoms of preterm labor were retrieved and selected for this study. Rapid beside fetal fibronectin results and cervical length measurements obtained via ultrasonography were gathered along with the interval duration from fibronectin testing, cervical length measurement and delivery.

RESULTS: Thirty-one patients had fetal fibronectin samples and outcome data. The admission-to-delivery interval was 33.6 days shorter in the group with positive fetal fibronectin results than in the group with negative fetal fibronectin results. (20.2 + 15.48 compared with 53.8 + 26.95; P
Human ; Female ; Pregnancy ; Cervical Length Measurement ; Fn1 Protein, Human ; Fibronectins ; Obstetric Labor, Premature ; Premature Birth ; Parturition ; Delivery, Obstetric

A multidisciplinary approach was undertaken in a case of a 38 year old G1P0 who came in at 33 1/7 weeks age of gestation with a chief complaint of persistent cough. Aside from persistent non-productive cough, the patient was otherwise asymptomatic despite a 2D echocardiogram of global hypokinesia and an ejection fraction of only 32 percent. Assessment was uterine pregnancy 33 1/7 weeks age of gestation, dilated cadiomyopathy with severe left ventricular dysfunction, congestive heart failure (CHF) Class 1A. Patient underwent primary low transverse cesarean section (vertical) with left uterine artery ligation and bilateral tubal ligation and delivered to a live baby boy with APGAR score of 6,9, birth weight of 1,581g, birth lenght of 42cm, maturity score of 35 weeks small for gestational age. This case attests to the importance of  pre conceptional counselling and prenatal care with active contributions of specialized obstetrician, cardiologist, internist and anesthesiologist

Human ; Female ; Adult ; Gestational Age ; Birth Weight ; Uterine Artery ; Anesthesiologists ; Cardiologists ; Sterilization, Tubal ; Hypokinesia ; Stroke Volume ; Maternal Age ; Parturition ; Ventricular Dysfunction, Left ; Heart Failure