Re: Fetal lung madurity

From: James S Smeltzer MD (gaperina@mindspring.com)
Mon Jul 16 07:23:05 2001


Pablo,

Fetal lung hypoplasia, severe enough to result in certain death, is not predictable by sonography. I have had babies who were doomed by certain formulae who are walking around using their own lungs. I have had others who died of hypoplasia despite acceptable or viable ratios (heart to chest). Rules of thumb, so far, have been very poor in my hands, and those of many others. The people who perform "life-saving" surgery on unborn babies for possibly fatal problems may have other opinions.

Jim

At 04:33 PM 7/12/2001 -0500, you wrote: >I was wrong: the neonatologists want to know if there is some way to predict
>fetal hypoplasia with ultrasound, they are not concerned about how to
>determine maturity with ultrasound.
>
>I know the relationship between the hemithorax and the lung in case of
>diaphragmatic hernia to determine lung hypoplasia. I think I will apply this
>relationship for both hemitorax.
>If any one know how to do it in a non-herniated fetus, I will appreciate the
>information.
>
>Thanks
>Pablo
>
>> -----Mensaje original-----
>> De: Pablo D'Angelo <pjd@post.com>
>> Para: Multiple recipients of list ULTRASOUND
>> <ultrasound@mail.medispecialty.com>
>> Fecha: Miércoles, 11 de Julio de 2001 05:23 p.m.
>> Asunto: Fetal lung madurity
>>
>> >Hello
>> >
>> >Someone knows if there is any RELIABLE way to determine fetal lung
>madurity
>> >with ultrasound?
>> >
>> >We had a pregnant woman 26 weeks of gestation with premature rupture of
>> >membranes from 4 weeks ago, with an AFI that never exceeded 10 mm.
>> >We need to know lung madurity.
>> >
>> >Any idea?
>> >
>> >Thanks
>> >
>> >Pablo D'Angelo, MD
>> >from Argentina
>> >
>>
>




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