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Revisiting amniocentesis for fetal lung maturity after 36 weeks' gestation.
MedLine Citation:
PMID:  18769658     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Respiratory distress syndrome (RDS) remains a major cause of perinatal morbidity and mortality in premature infants. To avoid iatrogenic RDS, The American College of Obstetricians and Gynecologists (ACOG) recommends that obstetricians confirm fetal pulmonary maturity prior to elective delivery less than 39 weeks' gestation. However, ACOG based such recommendations primarily on studies carried out prior to the routine use of antenatal corticosteroids to accelerate lung maturity and the liberal use of ultrasound to confirm gestational age. Recent studies suggest that testing for fetal lung maturity at more advanced gestational ages is neither reliable nor cost effective. This article reviews the current literature on the use of amniocentesis to confirm fetal lung maturity prior to elective delivery at 36 to 39 weeks' gestation.
Authors:
Guoyang Luo; Errol R Norwitz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Reviews in obstetrics & gynecology     Volume:  1     ISSN:  1941-2797     ISO Abbreviation:  Rev Obstet Gynecol     Publication Date:  2008  
Date Detail:
Created Date:  2008-09-04     Completed Date:  2011-07-14     Revised Date:  2014-08-28    
Medline Journal Info:
Nlm Unique ID:  101479674     Medline TA:  Rev Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-8     Citation Subset:  -    
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