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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.
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