Document Detail

Foam stability predictions of respiratory distress in infants delivered by repeat elective cesarean section.
MedLine Citation:
PMID:  980004     Owner:  NLM     Status:  MEDLINE    
Amniocentesis for assessment of lung maturity has been recommended before delivery by elective repeat cesarean section because respiratory distress may occur in infants delivered in this manner. To test this hypothesis, foam stability tests of amniotic fluid (84 cases) or gastric aspirate (25 cases) were used as interchangeable indexes of pulmonary maturity in 109 infants born by repeat elective cesarean section. Of the 81 infants with a positive foam stability test, only 2.5 per cent had transient respiratory distress, but 8.3 per cent with intermediate or negative foam stability tests had respiratory difficulty (P less than 0.025). The results support recommendations that fetal lung maturity should be assessed before elective repeat cesarean section to minimize the risk of respiratory morbidity.
R M Cowett; W Oh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New England journal of medicine     Volume:  295     ISSN:  0028-4793     ISO Abbreviation:  N. Engl. J. Med.     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1976-12-30     Completed Date:  1976-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0255562     Medline TA:  N Engl J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1222-4     Citation Subset:  AIM; IM    
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MeSH Terms
Amniocentesis / methods
Amniotic Fluid / analysis
Cesarean Section* / adverse effects
Gastric Juice / analysis
Gestational Age
Infant, Newborn
Prenatal Diagnosis*
Respiratory Distress Syndrome, Newborn / diagnosis*,  etiology,  prevention & control

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

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