Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 4S2 ( October-December, 2018 ) > List of Articles

RESEARCH ARTICLE

A Simple Method of Assessing Fetal Lung Maturity by Lamellar Body Concentration in Amniotic Fluid

Jayaraman Nambiar, Muralidhar V Pai, C Amruta

Keywords : Fetal lung maturity, Lamellar body count, Respiratory distress syndrome

Citation Information : Nambiar J, Pai MV, Amruta C. A Simple Method of Assessing Fetal Lung Maturity by Lamellar Body Concentration in Amniotic Fluid. J South Asian Feder Obs Gynae 2018; 10 (4S2):409-412.

DOI: 10.5005/jp-journals-10006-1634

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Objective: To find out whether amniotic fluid lamellar body concentrations (LBC) can predict neonatal respiratory distress syndrome (RDS) Materials and methods: Amniotic fluid was obtained at the time of cesarean section was sent to the laboratory for lamellar body concentrations in amniotic fluid. The lamellar body concentrations were analyzed and correlated with the incidence of RDS. Results: The incidence of RDS at different gestational age with an LBC cut off of 41,500 was studied. Among 220 patients studied, Respiratory distress was seen in 53 (24.09%) of patients. There is a significant correlation between decreasing lamellar body count in preterms and incidence of RDS. LBC count has a sensitivity of 92.7 %, the specificity of 90 %, a positive-predictive value of 73% and a negative-predictive value of 98% in predicting respiratory distress syndrome. Conclusion: LBC count in the current study is a cheap, easy and reliable method of assessing fetal lung maturity. Abbreviations: RDS: Respiratory distress syndrome; LBC: Lamellar body count; FLM: Fetal lung maturity. Ethics approval: Ethical committee clearance was obtained on 15/9/2011 before the start of the study from Manipal University ethical committee and Kasturba Hospital, Manipal under reference number IEC248/2011.


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