SUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiThe study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetAfter data collected and statistical analysis the study have revealed that, the mean age of the study group (preterm patients) was 23.6+6.2 statistically significantly lower than that of the control group (term patients) 26.0+5.9 years (pHowever, birth interval less than 18 months for the study group represented 8.3% compared to non among the control group, differences observed were statistically significant (pThe mean gestational age at delivery (35.78+3.41) was statistically significantly different from that of the other group (39.71+1.46). Also, the mean sampling delivery interval of the study groups was 16.17+21.27 days, compared to 42.29+16.15 among the coAs for cervico-vaginal fetal fibronectin results, more than two thirds of the study group had positive fetal fibronectin results (66.7%), compared to only (12.5%) among the control group. These differences were statistically highly significant (P<0.001).The mean cervical dilatation was 1.3+0.67, the mean uterine contractions/hour was 5.91+1.69 contractions/hour among the preterm patients while they were none for the control group, the difference was statistically highly significant (p<0.001).Neither the cervical length nor the presence of cervico-vaginal fibronectin has association with the demographic characteristics, obstetrical history and current pregnancy risk factors among the preterm patients except for, the patients who have history oThe presence of cervico-vaginal fetal fibronectin had a strong positive statistically significant correlation with cervical dilatation and frequency of uterine contractions (pThe presence of fetal fibronectin in the cervico-vaginal secretion had a strong negative correlation with maternal age and statistically significant negative correlation with neonatal birth weight and Apgar scoring after 1 and 5 min. (PThe cervical length had moderate statistically negative correlation with cervical dilatation (r= -0.09) while it was positively correlated to frequency of uterine contractions (r= 0.14). Moreover, the cervical length had a strong positive statistically coThe present study findings have also evaluated the predictive value of the measurements of the cervical length in relation to cervico-vaginal fetal fibronectin results. Results reflect a sensitivity of 16.7%, a specificity of 100%, a positive predictive vRegarding cervical length in relation to obstetrical outcome, The result reflects a sensitivity of 26.3% and a specificity of 96.6%. Based on the cervico-vaginal fetal fibronectin in relation to obstetrical outcome, this result reflects a sensitivity of 8Based on these findings, a model was proposed for nursing intervention and role in caring and preventing of preterm births with intact membranes among women at risk for preterm birth. Nursing intervention should be encouraged, and be based on early identiSUMMARYPreterm labor and delivery “before 37 weeks gestation” is the major cause of perinatal morbidity and mortality in developed countries and is the single most important complication of pregnancy in the absence of congenital abnormality. The incidence of preIdentification of women at risk for preterm delivery requires the use of an easy screening tool that can be applied in an unselected population of pregnant women and that will identify those likely to enter labor before term. To be efficacious, such screeThe presence of fetal fibronectin in cervico-vaginal secretions has been proposed as a specific predictor of preterm delivery. During normal pregnancy, fetal fibronectin is commonly found in the cervix and vagina until 16-20 weeks gestation. However, fromThe obstetric nurses play an important role in the identification and evaluation of pregnancy at risk, because they may be the first health care providers to respond to the pregnant woman’s questions and to give advice about seeking care. A key element ofThe objectives of this study are aiming to combination of the performances of the assessment of cervico-vaginal fetal fibronectin level and the assessment of the cervical length in the prediction of preterm delivery for patients at risk for preterm labor The aim of this study is to help in early prediction of patients at risk of preterm labor in Zagazig University Hospital, and to design a nursing intervention model for preterm labor.The study sample consisted of 48 patients between 30-36 weeks of gestation. The patients were equally distributed into study and control groups (n= 24). The study group were at risk of preterm labor (risk scoring system was 10 or more), had regular uterinI. Risk scoring system sheetII. Interviewing sheetIII. Maternal assessment sheet.IV. Neonatal assessment sheetRegarding obstetric characteristics, nearly half of women (40%) in case group and 28.7% in control group were primigravida.Predisposing factors to PROM as revealed by this study were: anemia (23.3%), previous history of PROM (10.6%) in case group. Frequency of last coitus before PROM was also examined as predisposing factor, indicating that only 28.0% in case group and 23.4% Infection association with PROM was indicated by maternal temperature, abdominal tenderness and mothers C-reactive protein.According to maternal temperature, it was found that temperature ranged from 36.6-38ºC in the case group and 36.8-38.5ºC. in the control group. Pulse rate ranged from 60-100 b/min in the case group and 70-110 b/min in control group.As regards the effect of PROM on maternal outcome findings demonstrated that it was through duration and progress of labor in each stage. Duration of first stage managed between 5-22 hours; while 2nd stage ranged between 20-50 minutes and 3rd stage rangedConcerning, the mode of delivery, 61.3% of mothers had normal vaginal delivery with or without episiotomy and 38% delivered by cesarean section and (0.7%) delivered by forceps. The main complications, were fetal distress (20.7%), Meconium stained (6.0%), Regarding fetal and neonatal outcomes near to revealed that mean Apgar score ranged between 5-7 during 1st minuet and 8-10 during 5th minuteConcerning Ballard scale, the mean neurological score was 19.3% in the case group and 14.1% in the control group, in the same way, mean total Ballard score was 39.9% in the case group and 32.3% in the control group.REFERENCESAbele-Horn M, Peteres J and Genzel–Boroviczeny O (1997): Vaginal urea plasma urealyticum colonization: Influence on pregnancy outcome and neonatal morbidity. Infection; 25: 286-291.Abdel-Kader MM (1997): Premature rupture of membranes and bacterial vaginosis. Thesis of Master Degree in Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, p. 131.Abou-seeda, M.M. and Abdel-Hady, M.M. (1990): Can C-reactive protein be a useful tool to diagnosis preclinical chorioamnionitis. Ain Shams Medical Journal, 41:429-433.Allaire AD (1998): Initial and repeat screening for Chlamydia trachomatis during pregnancy. Infect Dis Obstet Gynecol, 6(3):116-122.