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Re: Fetal Lung Maturity QuestionFrom: ainsron@msn.comFri Feb 4 11:11:10 2000
At Thu, 3 Feb 2000, Michael J. Wolpmann, M.D. wrote: > >Looking for the percentage of mature amniocentesis for fetal lung >maturity at 36 weeks in an insulin dependent diabetic gravida? > >Can you give me a quote or point me in the direction of this data? I can't give you a quote from the literature, but I had two insulin dependent diabetics recently. One began developing toxemia at 34 weeks, I tapped her and she was mature and I delivered her by C/S because of an unfavorable cervix. Healthy baby, baby and mom did well. The other at 35 weeks, developed rapid weight gain and increasing proteinuria (from 2000 to 3400gm) with normal BP and I want to get her delivered as soon as baby mature. I've tapped her weekly for three weeks and it still isn't mature. The FLM went from 14 to 24 to 34 (mature above 55). The interesting thing is that the shake test is now positive. I plan to deliver her in another week or sooner if deteriorates clinically. Our hospital went to FLM testing about 4 years ago, because it was a simpler, automated test and supposedly reliable. The good old L/S and PG were too labor intensive and economically lost out. We kicked and screamed, I sure trusted it more!!
-- Ronald E. Ainsworth, MD
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