Document Detail


Antenatal prediction of graduated risk of hyaline membrane disease by amniotic fluid foam test for surfactant.
MedLine Citation:
PMID:  582356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We measured amniotic fluid surfactant by the semiquantitative foam stability test within 24 hours before delivery of 410 infants, 64 of whom developed HMD diagnosed by standard criteria. When surfactant titers were ranked in eight categories, they predicted graded risks of HMD. On this basis we defined five "risk groups" with significantly different incidences of HMD (I = 0.5%; II = 10%; III = 25%; IV = 41%; V = 79%). Infants in Groups I and II were heavier and more mature than those in Groups III to V. However, among infants of equivalent GA or birth weight, the incidence of HMD still correlated significantly with the foam test results. Within each risk group the incidence of HMD was equal among infants delivered by vagina and by cesarean section, slightly greater among males than females, and inversely proportional to GA. In Group V the incidence of HMD was 100% among infants at less than 33 weeks' GA. We used this relationship to devise a system that improved prediction of HMD by combining the foam test results with GA.
Authors:
M A Schlueter; R H Phibbs; R K Creasy; J A Clements; W H Tooley
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  134     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1979 Aug 
Date Detail:
Created Date:  1979-09-17     Completed Date:  1979-09-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  761-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Amniocentesis
Amniotic Fluid / analysis*
Birth Weight
Delivery, Obstetric
Female
Gestational Age
Humans
Hyaline Membrane Disease / diagnosis*
Infant, Newborn
Methods
Pregnancy
Prenatal Diagnosis / methods*
Pulmonary Surfactants / analysis*
Risk
Sex Factors
Chemical
Reg. No./Substance:
0/Pulmonary Surfactants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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