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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 1257
Created on : 23/05/2005
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=1257

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Author(s) :

Ghidini A, Poggi SH, Spong CY, Goodwin KM, Vink J, Pezzullo JC.

Year of publication :


Bibliographical entry (without author) :

Role of lamellar body count for the prediction of neonatal respiratory distress syndrome in non-diabetic pregnant women.
Archives of Gynecology and Obstetrics 2005;271(4):325-328.

Résumé (français) :

Abstract (English):

OBJECTIVE: Lamellar body count is a new and fast technique to establish the presence of fetal lung maturity. We have assessed the predictive ability of lamellar body count for neonatal respiratory distress syndrome (RDS) in a non-diabetic population.

STUDY DESIGN: We accessed a cohort of amniocenteses in non-diabetic women from 1998 to 2002 (n=102). Neonatal RDS was defined as need for surfactant, intubation, or continuous positive airway pressure (CPAP) in the setting of chest X-ray findings consistent with RDS. The predictive ability of lamellar body count was compared with those of lecithin/sphingomyelin (L/S) ratio and presence of phosphatidylglycerol (PG) using logistic regression analysis. The optimal threshold value of lamellar body count for prediction of neonatal RDS was established with receiver operating characteristic (ROC) curve analysis.

RESULTS: Lamellar body count ROC curve analysis identified a lamellar body count >37,000 l–1 as optimal diagnostic threshold for diagnosis of lung maturity, having a negative predictive value of 98%. Lamellar body count and PG, but not L/S ratio, added significantly to the prediction of RDS.

CONCLUSIONS: Lamellar body count is a reliable predictor of fetal lung maturity in non-diabetic women and it can replace the L/S ratio.

Sumário (português):



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Comments :

Texte en accès libre.

Argument (français) :

Une nouvelle mesure du risque de détresse repiratoire due à l'immaturité des poumons ... au prix d'une amniocentèse et de ses fausses-couches tout de même ...

Argument (English):

Argumento (português):

Keywords :

amniocentesis ; fetal distress ; physiology ; premature baby

Author of this record :

C. Loup

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