Fetal fibronectin is a protein that's believed to help keep the amniotic sac "glued" to the lining of the uterus. If this connection is disrupted, fetal fibronectin can be released into secretions near your cervix. The connection can be disrupted by an infection, inflammation, the separation of the placenta from the wall of the uterus, uterine contractions or shortening of the cervix. A positive fetal fibronectin test is a clue that the "glue" has been disturbed and you're at increased risk of premature birth within seven days. If the fetal fibronectin test is positive, your health care provider may take steps to address premature birth — such as administering medication to enhance the baby's lung maturity.
To avoid a false-positive result, the test will be done before any pelvic exam or transvaginal ultrasound. These tests can cause a release of fetal fibronectin and lead to a false-positive result. Intercourse and vaginal bleeding can affect the test results, too. If you experience vaginal bleeding or have had sex within the last 24 hours, the test probably won't be done.
What to expect
During the fetal fibronectin test, you'll lie on your back on an exam table. Your health care provider will place a speculum in your vagina and use a cotton swab to gently swipe secretions near your cervix.
The sample will be sent to a lab for analysis.
In some cases, a transvaginal ultrasound is done after the sample is taken to measure the length of your cervix. During the ultrasound, you'll lie on your back and your health care provider or technician will place a slender, wand like device in your vagina. The device uses sound waves to digitally create images on a monitor.
Positive. A positive result means that fetal fibronectin is present in your cervical secretions. If you have a positive result between weeks 22 and 34, you're at increased risk of premature birth within seven days.
Your health care provider might take steps to prepare for a potentially early birth, such as giving you steroids to speed your baby's lung maturity. Or, you might be given medications to decrease the risk of neurological complications, such as cerebral palsy, in your infant. If you're having contractions, you might be given drugs to temporarily stop them.
Negative. A negative result means that fetal fibronectin isn't present in your cervical fluid. This indicates that you aren't likely to deliver in the next two weeks. In fact, a negative result might be the most powerful benefit of the test — allowing you and your health care provider to relax a bit with the knowledge that a premature birth isn't imminent.
Warning signs of preterm labour include:
- Regular or frequent sensations of abdominal tightening (contractions)
- Constant low, dull backache
- A sensation of pelvic or lower abdominal pressure
- Mild abdominal cramps
- Vaginal spotting or bleeding
- Preterm rupture of the membranes — in a gush or a continuous trickle of fluid after the membrane around the baby breaks or tears
- A change in type of vaginal discharge — watery, mucus like or bloody