Amniocentesis for fetal lung maturity: will it become obsolete?
AMNIOCENTESIS FOR FETAL LUNG MATURITY HAS HISTORICALLY BEEN PERFORMED FOR MANY REASONS: uterine and placental complications, maternal comorbidities, fetal issues, and even obstetric problems. Even though the risks associated with third trimester amniocentesis are extremely low, complications have been documented, including preterm labor, placental abruptions, intrauterine rupture, maternal sepsis, fetal heart rate abnormalities, and fetal-maternal hemorrhage. This review presents the types of tests for fetal lung maturity, presents the indications and tests utilized, and discusses recommendations for when amniocentesis for fetal lung maturity may be appropriate.
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
Stephen
S
Varner
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
Craig
C
Sherman
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
David
D
Lewis
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
Sheri
S
Owens
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
Frankie
F
Bodie
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
C Eric
CE
McCathran
Department of Obstetrics and Gynecology, University of South Alabama. Mobile, AL.
Nicolette
N
Holliday
Amniocentesis; Fetal lung maturity; Lecithin/sphingomyelin ratio; Respiratory distress syndrome