AI Article Synopsis

  • The study aimed to assess the effectiveness of oncofetal fibronectin (fFN) in diagnosing unruptured ectopic pregnancy and how maternal blood contamination affects the results.
  • A total of 111 early pregnancy cases were examined, including different outcomes, and the presence of fFN was tested using a specific assay.
  • Results showed that fFN was much more likely to be positive in ectopic pregnancies compared to normal pregnancies and miscarriages, with contamination from maternal blood significantly increasing the rate of positive test results.

Article Abstract

Objective: To evaluate (1) the diagnostic usefulness of oncofetal fibronectin (fFN) in the cervical fluid in unruptured ectopic pregnancy, and (2) the contribution of maternal blood contamination of the specimen to the test results.

Study Design: A total of 111 cases in the first trimester of pregnancy, including 12 cases of ectopic pregnancy, 26 of spontaneous abortion and 73 of viable intrauterine pregnancy, were studied. fFN was determined with a commercial enzyme-linked immunosorbent assay kit with a threshold of 50 ng/mL in cervical fluid. To determine the effect of blood contamination on the fFN assay, the positive rate of the fFN test was examined when maternal blood in the first trimester was mixed with the dilution buffer.

Results: Eighty-three percent (10/12), 38% (10/26) and 12% (9/73) of cases with ectopic pregnancy, miscarriage and normal pregnancy, respectively, were positive for fFN. The positive rate in ectopic pregnancy was significantly higher than in normal pregnancy and spontaneous abortion. The test was positive for fFN in 8% with 0.5% of blood contamination, 67% with 1% contamination and 100% with 10% contamination.

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