Most clinical laboratories offer determination of the 'total oestrogen' output on a timed urine specimen as a test of fetal function. These assays can conveniently be automated. However, they have a number of disadvantages, namely, the inconvenience of collection timing, the 12-or 24-hour delay, uncertainties due to failure to empty the bladder, and occasional interference from drug metabolites and glucose. An alternative approach is to measure the plasma oestriol level, and an original radioimmunoassay method which is fast enough to allow the reporting of results on the same day has now been developed. The results with this procedure suggest that it may with advantage be substituted for the urine 'oestriol' assay in the assessment of fetal function.Method ANTISERUM Antisera were raised in rabbits to conjugates of oestriol-6-o-carboxymethyl oxime and various mammalian albumins. A conjugate of rabbit albumin produced high-titre antibody with high specificity for oestriol. This antiserum (1-0 ml) was used at a dilution of 1 in 10 000 in carbonate/bicarbonate buffer (0 05 M, pH 9-6) to coat polystyrene tubes (Sarstedt 10 x 55 mm) with a minimum contact time of 24 hours at 4°C according to the method of Catt and Tregear (1967).When required for the assay, each tube is aspirated and treated twice with 1 ml phosphate buffered saline (0-04 mol/l phosphate, 0-6 % NaCl pH 7 4) then with 10 ml of a similar phosphate buffered saline but containing 01 0. bovine albumin.
TRACERThe tracer is prepared from oestriol-6-o-carboxymethyl oxime BSA (Steraloids, Croydon) and 125I sodium (Radiochemical Centre, Amersham) by the