Re: Fetal lung madurity
From: Pablo D'Angelo (pjd@post.com)
Tue Jul 17 04:17:51 2001
I agree with you.
In my own experience I had two cases with left diaphragmatic hernia in which
the heart/right lung ratio gave them ominous prognosis. They had their
defects corrected after born and now are healthy babes.
>----- Original Message -----
From: James S Smeltzer MD <gaperina@mindspring.com>
To: Multiple recipients of list ULTRASOUND
<ultrasound@mail.medispecialty.com>
Sent: Monday, July 16, 2001 9:24 AM
Subject: Re: Fetal lung madurity
> 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
> >> >
> >>
> >
