title: Comparison of rapid bedside tests for phosphorylated insulin-like growth factor-binding protein 1 and fetal fibronectin to predict preterm birth.
abstract: OBJECTIVE
  To compare the accuracy of rapid bedside tests for phosphorylated insulin-like growth factor-binding protein 1 (phIGFBP-1) and fetal fibronectin (fFN) to predict preterm delivery among women with threatened preterm labor.
  
  
  METHODS
  A prospective observational study was conducted among women with a singleton pregnancy of 28-36 weeks, intact membranes, and symptoms suggestive of preterm labor who attended a center in New Delhi, India, between April 1, 2011, and March 31, 2014. Rapid bedside tests were performed at presentation to measure the levels of phIGFBP-1 and fFN in cervicovaginal secretions. All patients were managed as per the standard hospital protocol and followed up until delivery.
  
  
  RESULTS
  Data were available for 468 participants. For delivery before 37 weeks, the phIGFBP-1 test exhibited a sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 81.1%, 97.1%, 95.2% and 87.7%, respectively. The sensitivity, specificity, PPV, and NPV for the fFN test were 19.4%, 99.4%, 97.4%, and 63.2%, respectively. The phIGFBP-1 test displayed higher sensitivity and NPV than did the fFN test for delivery before 34 weeks and within 7 days of testing (P<0.05 for all).
  
  
  CONCLUSIONS
  The rapid bedside test for phIGFBP-1 was more reliable in the prediction of preterm delivery than was the equivalent test for fFN.
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Reva
authors.initials: R
authors.lastname: Tripathi
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Shakun
authors.initials: S
authors.lastname: Tyagi
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Yedla M
authors.initials: YM
authors.lastname: Mala
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Nilanchali
authors.initials: N
authors.lastname: Singh
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
authors.forename: Nalini B
authors.initials: NB
authors.lastname: Pandey
authors.affiliation: Department of Obstetrics and Gynecology, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India. Electronic address: yprity.04@gmail.com.
authors.forename: Preeti
authors.initials: P
authors.lastname: Yadav
mesh_terms: D015415:Biomarkers / Q000097:blood; D005260:Female; D005353:Fibronectins / Q000097:blood*; D005865:Gestational Age; D006801:Humans; D007194:India; D007231:Infant, Newborn; D018970:Insulin-Like Growth Factor Binding Protein 1 / Q000097:blood*; D000067716:Point-of-Care Testing / Q000592:standards*; D011237:Predictive Value of Tests; D011247:Pregnancy; D047928:Premature Birth / Q000175:diagnosis* / Q000453:epidemiology*; D011446:Prospective Studies
chemical_list: D015415:Biomarkers; D005353:Fibronectins; D018970:Insulin-Like Growth Factor Binding Protein 1
keywords: Biochemical markers; Fetal fibronectin; Phosphorylated insulin-like growth factor-binding protein 1; Preterm birth; Rapid bedside test; Threatened preterm labor