Author/Authors
KARS, Bülent Dragos Gülen Tıp Merkezi - Kadın Hastalıkları ve Doğum Kliniği, Turkey , SAKİN, Önder Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi - Kadın Hastalıkları ve Doğum Kliniği, Turkey , BÜYÜKBAYRAK, Esra Esim Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi - Kadın Hastalıkları ve Doğum Kliniği, Turkey , KARŞIDAĞ, Yasemin Karageyim Kırklareli Üniversitesi - Sağlık Yüksek Okulu, Turkey , ÜNAL, Orhan Sakarya Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , TURAN, Mehmet Cem Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi - Kadın Hastalıkları ve Doğum Kliniği, Turkey
Title Of Article
INVESTIGATION OF THE SUPERIORITY OF TDxFML AND LAMELLAR BODY COUNTS IN THE EVALUATION OF FETAL LUNG MATURATION
شماره ركورد
25988
Abstract
Objectıve: To evaluate the superiority of the most performed tests; lamellar body counts and TDxFLM test compared to each other to estimate the maturation of fetal lungs and also to evaluate the reasons for the unclear cut-off values of lamellar body counts.Material and Method: Amnion fluids that were taken into 2 separate tubes from 56 patients within a year were evaluated with both of the tests. Newborns were evaluated and monitored for respiratory distress syndrome of newborns by a neonatologist who was blinded to the results of the amnion fluids. Clinical findings such as grunting, tachypnea, retractions and cyanosis beginning within 6-8 hours after birth, oxygen need over 24 hours, arterial blood gas analyses with partial oxygen pressure under 50 mmHg and presence of chest x-ray findings that are compatible with the situation were accepted as the respiratory distress of newborns.Results: Respiratory distress was not seen in 44 of the 56 newborns while it was seen in 12 (21.4%) of them. In 30 patients whose lamellar body counts were 55000/mm^3 without centrifuge, RDS was not seen. In the patients whose lamellar body counts were 40000/mm^3 the prevalence of RDS was 71.4. In the patients whose lamellar body counts were at interim values; secondary evaluation with TDx FLM can be performed. If the TDx FLM values exceeded 41, all cases can be detected.Conclusion: Count of lamellar bodies is adiagnostic tool which is fast, practical, easily accessible and cost-effective; also there is no doubt on the benefits of the tool. It seems that the different cut-off values have reasonable causes. Thus, we suggest that every clinic should have its own cut-off values. In the presence of interim results, additional evaluation with TDxFLM was found to increase the sensitivity and specificity
From Page
116
NaturalLanguageKeyword
Respiratory distress syndrome , lamellar body count , fetal lung maturity
JournalTitle
Journal Of Istanbul Faculty Of Medicine
To Page
124
JournalTitle
Journal Of Istanbul Faculty Of Medicine
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