Amniotic fluid S100B protein in Mid-Gestation and intrauterine fetal death

Fabrizio Michetti, Pasquale Florio, Matteo Bruschettini, Mario Lituania, Pierluigi Bruschettini, Filiberto M Severi, Felice Petraglia, Diego Gazzolo

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

42 Citazioni (Scopus)

Abstract

Fetal death in the mid-trimester of pregnancy is unexplained and no reliable markers are available to identify at-risk women. We aimed to assess use of alpha fetoprotein and S100B concentrations in amniotic fluid as markers. We did a case-control study in 758 healthy women undergoing amniocentesis at mid-gestation, of whom 12 had a spontaneous intrauterine fetal death before 28 weeks, and 746 matched controls. Concentrations were corrected for gestational age by conversion to multiples of median (MoM) of healthy controls of the same gestational age. Concentrations of S100B, but not alpha fetoprotein, were significantly higher (p<0.0001) in women who later had spontaneous fetal death (median 4.431 MoM [95%CI 3.605-6.197]) than in controls (1.000 MoM [1.062-1.121]). Sensitivity, specificity, and positive and negative predictive values of S100B as a diagnostic test were 100%, suggesting that measurement of this protein at amniocentesis could be useful to identify at-risk women.
Lingua originaleEnglish
pagine (da-a)270-272
Numero di pagine3
RivistaTHE LANCET
Stato di pubblicazionePubblicato - 2004

Keywords

  • Amniotic Fluid
  • Foetal Death
  • Mid -Gestation
  • S100B protein

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