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Re: Amnio results for lung maturity Q's???

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 24 Mar 2001 21:55:40 -0600 (CST)


At Sat, 24 Mar 2001, Alison wrote: >
>Hi,
>
>I am 33w1d with a girl. I have IDGDM, onset 9 wks (I know.. more like
>previously undiagnosed diabetes but that's what they're calling it!) I
>am also pre-eclamptic. My blood pressures are hovering just at /100
>diastolic & protein dip at +1. My BP during the first half of pregnancy
>had been 100/65. I have been told a diastolic of /110 or protein dip of
>2+ will warrant delivery irregardless of fetal maturity.
>
>We did an amnio today and the preliminary result value was 7. The range
>that was mentioned was 39-54 = inconclusive & 55+ = mature. I believe
>this was mg/G of surfectant? The peri had mentioned that because of my
>diabetes the preliminary results were not reliable. I did have two
>steroid shots, 24 & 48 hrs prior to the amnio.
>
>Which way, and by how much, does diabetes typically affect the
>preliminary amnio results vs. the 24 hour test? Just how immature are
>these lungs? Seven seems so far from 55, let alone 39. It seems to me
>that it will be at least 4 or 5 weeks before these lungs are mature, and
>I doubt my pre-eclampsia will hold out that long. Is there any point in
>doing more steroid shots?
>
>Thank you so much,
>Alison R.

Alison

Great questions. I would suggest you ask them of your doc and perinatologist. They know all the particulars of your case and are more in a position to answer it than any of us. good luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only. They are not meant to take the place of an examination by a qualified health care provider. They are not intended to be the start of a physician-patient relationship.




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