Abstract
The normal range and trends of the ratio between lecithin and sphingomyelin in the amniotic fluid, estimated on thin-layer chromatograms, have been established for the last trimester. The accuracy of the ratio as an index of fetal lung development and of the risk of neonatal respiratory distress has been confirmed. The usual increase in the ratio towards term was not found in some pregnancies complicated by diabetes or severe rhesus incompatibility. Determination of the ratio may prove a valuable guide in the management of pregnancies with these complications.
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- ADAMS F. H., FUJIWARA T., EMMANOUILIDES G., SCUDDER A. SURFACE PROPERTIES AND LIPIDS FROM LUNGS OF INFANTS WITH HYALINE MEMBRANE DISEASE. J Pediatr. 1965 Feb;66:357–364. doi: 10.1016/s0022-3476(65)80193-7. [DOI] [PubMed] [Google Scholar]
- AVERY M. E., MEAD J. Surface properties in relation to atelectasis and hyaline membrane disease. AMA J Dis Child. 1959 May;97(5 Pt 1):517–523. doi: 10.1001/archpedi.1959.02070010519001. [DOI] [PubMed] [Google Scholar]
- Gluck L., Landowne R. A., Kulovich M. V. Biochemical development of surface activity in mammalian lung. 3. Structural changes in lung lecithin during development of the rabbit fetus and newborn. Pediatr Res. 1970 Jul;4(4):352–364. doi: 10.1203/00006450-197007000-00006. [DOI] [PubMed] [Google Scholar]
- PATTLE R. E., CLAIREAUX A. E., DAVIES P. A., CAMERON A. H. Inability to form a lung-lining film as a cause of the respiratory-distress syndrome in the newborn. Lancet. 1962 Sep 8;2(7254):469–473. doi: 10.1016/s0140-6736(62)90337-9. [DOI] [PubMed] [Google Scholar]
- Scarpelli E. M. The lung, tracheal fluid, and lipid metabolism of the fetus. Pediatrics. 1967 Dec;40(6):951–961. [PubMed] [Google Scholar]