Vitamin D-Binding Protein in Cervicovaginal Fluid as a Non-Invasive Predictor of Maternal and Fetal Outcome in Women with Preterm Labor | ||||
Evidence Based Women's Health Journal | ||||
Article 9, Volume 11, Issue 2, May 2021, Page 157-164 PDF (1.02 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ebwhj.2019.17059.1019 | ||||
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Authors | ||||
Ahmed Ramy Mohamed Ramy1; Mohamed Mahmoud El-Sherbeeny1; Rehab M. AbdelRahman1; Mohammed Ahmed Khairy 2 | ||||
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain-Shams University, Cairo | ||||
2OBSTETRICS & GYNAECOLOGY, Ain Shams University, Cairo, Egypt | ||||
Abstract | ||||
Aim: This study aimed to determine whether vitamin D-binding protein (VDBP) in cervicovaginal fluid (CVF) is independently predictive of imminent spontaneous preterm delivery (SPTD, delivery within 48 hours) in women with preterm labor with intact membranes (PTL). Materials and Methods: This was a single-center observational cohort study. CVF samples for VDBP assays were obtained along with serum C-reactive protein (CRP) levels in consecutive women with PTL (n = 94) between 23.0 and 37.0 weeks of gestation. VDBP levels in CVF were determined by enzyme-linked immunosorbent assay kits. The primary outcome measures were SPTD within 48 hours after sampling. Results: In the multivariable analysis, elevated VDBP levels in CVF samples of PTL women were significantly associated with imminent preterm delivery, even after adjusting for potential confounders (e.g., gestational age at sampling, parity, and serum CRP). In women with PTL, the areas under receiver operating characteristic curves of CVF VDBP level for predicting imminent preterm delivery were 0.781, with cut-off values of 2.3 μg/mL (sensitivity of 63.16% and specificity of 96.0%), respectively. The CVF VDBP levels were significantly high in women with PTL. Conclusion: VDBP in the CVF independently predicts imminent preterm delivery in women with PTL. | ||||
Keywords | ||||
Cervicovaginal fluid; maternal and fetal outcome; non-invasive predictor; preterm labor; vitamin D-binding protein | ||||
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