Sue
I wondered too, whether the POC fetal fibronectin test might help. The test
appears to have good 'rule-out' for risk of pre-term delivery in the next
week. As well as the web-site (www.ffntest.com) there is also a Bandolier
article http://www.jr2.ox.ac.uk/bandolier/band43/b43-2.html.
Rgds
Tony Everitt
BAsildon Hospital
-----Original Message-----
From: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK;
Sent: 29 October 2002 17:35
To: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK;
Subject: Discriminating amniotic fluid from urine in real time for ?PROM
An obstetrician has just enquired if there is a quick reliable biochemical
(or other) test that could be used in possible PROM (premature rupture of
membrane) cases. They had a lady who came in with a container of fluid, she
thought she had PROM at 23/40 but there was no obvious liquid in the
vagina. They thought it probably was PROM and tried an induction which
failed and she later delivered normally at 38/40. We don't do AFP on site
so I'm looking for something routinely available - quick/easy/RELIABLE to
distinguish amniotic fluid from urine. TP? creat? (fetal urine contributes
how much to amniotic fluid, depending on gestation?) HELP please. Looked on
internet but nothing sprang out at me. Any suggestions gratefully received.
THanks, Sue Walker, Salisbury UK.
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