4.6 Article

Acceleration/ejection time ratio in the fetal pulmonary artery predicts fetal lung maturity

Journal

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.ajog.2010.01.075

Keywords

fetal lung maturity; fetal pulmonary artery flow velocity; lecithin/sphingomyelin ratio; respiratory distress syndrome

Ask authors/readers for more resources

OBJECTIVE: The aim of this study was to determine whether sono-graphic fetal pulmonary artery flow velocity waveforms correlate with amniotic fluid biomarkers of fetal lung maturity. STUDY DESIGN: We studied women with singleton pregnancies undergoing clinically indicated amniocentesis for fetal lung maturity at Yale-New Haven Hospital. Fetal pulmonary artery flow velocity measurements, including systolic/diastolic ratio, pulsatility index, resistance index, and acceleration-time/ejection-time ratio were obtained using spectral Doppler ultrasound. Pearson's correlation coefficient was used to determine the association between fetal pulmonary artery flow velocity parameters and the lecithin/sphingomyelin ratio. RESULTS: Twenty-nine subjects met study criteria. The acceleration-time/ejection-time ratio was inversely correlated with the lecithin/sphingomyelin ratio (r = -0.76; P < .001). This relationship was maintained after controlling for potential confounders. Other fetal pulmonary artery flow velocity measurements were not associated with the lecithin/sphingomyelin ratio. CONCLUSION: There is an inverse correlation between the acceleration-time/ejection-time ratio in the fetal pulmonary artery and the amniotic fluid lecithin/sphingomyelin ratio. This suggests that ultrasound evaluation of fetal pulmonary artery blood flow may be a promising new noninvasive technique to evaluate fetal lung maturity.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Letter Medicine, General & Internal

Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut

Katherine H. Campbell, Jean M. Tornatore, Kirsten E. Lawrence, Jessica L. Illuzzi, L. Scott Sussman, Heather S. Lipkind, Christian M. Pettker

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2020)

Review Obstetrics & Gynecology

Consolidation of obstetric services in a public health emergency

Katherine H. Campbell, Christian M. Pettker, Dena Goffman

SEMINARS IN PERINATOLOGY (2020)

Article Obstetrics & Gynecology

Society for Maternal-Fetal Medicine Consult Series #54: Assessing the risk of maternal morbidity and mortality

Justin R. Lappen, Christian M. Pettker, Judette M. Louis

Summary: Comprehensive assessment of pregnancy-related risks in the United States is crucial in reducing maternal morbidity and mortality, with identification of high-risk women and early interventions being key. Healthcare practitioners need to be educated on factors contributing to high-risk pregnancies and the importance of risk assessment in reducing maternal morbidity and mortality across the reproductive spectrum.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2021)

Article Public, Environmental & Occupational Health

Mass severe acute respiratory coronavirus 2 (SARS-CoV-2) testing of asymptomatic healthcare personnel

Scott C. Roberts, David R. Peaper, Craig D. Thorne, L. Scott Sussman, Thomas S. Murray, Steven J. Choi, Christian M. Pettker, Mark B. Russi, Richard A. Martinello

Summary: Mass asymptomatic SARS-CoV-2 testing of healthcare personnel at a large health system revealed a low prevalence of positive cases, with half of those testing positive having mild symptoms in hindsight. It is recommended that HCP with even mild symptoms should be isolated and tested.

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2021)

Article Obstetrics & Gynecology

Society for Maternal-Fetal Medicine Consult Series #53: Intrahepatic cholestasis of pregnancy Replaces Consult #13, April 2011

Richard H. Lee, Mara Greenberg, Torri D. Metz, Christian M. Pettker

Summary: Intrahepatic cholestasis of pregnancy can cause maternal itching symptoms and pose potential risks for the fetus. Regular monitoring of bile acid and liver enzyme levels, medication treatment, and timely antenatal fetal surveillance are recommended.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2021)

Article Public, Environmental & Occupational Health

Correlation of healthcare worker vaccination with inpatient healthcare-associated coronavirus disease 2019 (COVID-19)

Scott C. Roberts, Michael J. Aniskiewicz, Steven J. Choi, Christian M. Pettker, Richard A. Martinello

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY (2022)

Letter Medicine, General & Internal

Utility of Mass SARS-CoV-2 Testing of Asymptomatic Patients Before Ambulatory and Inpatient Preplanned Procedures Requiring Moderate Sedation or General Anesthesia

Scott C. Roberts, David R. Peaper, L. Scott Sussman, Richard A. Martinello, Christian M. Pettker

Summary: This quality improvement study reports the outcomes of a mass preprocedure SARS-CoV-2 testing strategy during a period of high community transmission in Connecticut.

JAMA NETWORK OPEN (2021)

Article Obstetrics & Gynecology

Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality metric

C. Andrew Combs, Dena Goffman, Christian M. Pettker

Summary: Hospital readmission is considered a core measure of quality in healthcare, but the maternal readmission rate after childbirth currently has limited utility as a metric for quality or performance improvement.

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY (2022)

Article Obstetrics & Gynecology

Placental Location in Maternal-Fetal Surgery for Myelomeningocele

Joseph B. Lillegard, Stephanie A. Eyerly-Webb, David A. Watson, Mert Ozan Bahtiyar, Kelly A. Bennett, Stephen P. Emery, Allan J. Fisher, Ruth B. Goldstein, William H. Goodnight, Foong-Yen Lim, Laurence B. McCullough, Ueli Moehrlen, Julie S. Moldenhauer, Anita J. Moon-Grady, Rodrigo Ruano, Daniel W. Skupski, Marjorie C. Treadwell, KuoJen Tsao, Amy J. Wagner, Michael V. Zaretsky

Summary: This study investigated whether an anterior placenta was associated with increased rates of complications in mothers and babies who underwent open maternal-fetal surgery for fetal myelomeningocele closure. The results showed that an anterior placenta was associated with a higher risk of intraoperative fetal resuscitation and thinning at the hysterotomy closure site, but did not significantly impact gestational age at delivery or maternal or fetal clinical outcomes.

FETAL DIAGNOSIS AND THERAPY (2022)

Article Obstetrics & Gynecology

Pilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events

Linda L. Fan, Sangini S. Sheth, Christian M. Pettker

Summary: This study aims to establish a sustainable and trackable process to understand the role of social determinants of health, bias, and racism in adverse gynecologic events. The study used a standardized health equity checklist and evaluated multiple gynecologic adverse events. The results showed that social determinants of health and implicit bias played a significant role in some adverse events.

OBSTETRICS AND GYNECOLOGY (2022)

Editorial Material Obstetrics & Gynecology

Pilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events

Linda L. L. Fan, Sangini S. S. Sheth, Christian M. M. Pettker

Summary: When evaluating unexpected medical adverse events after pharmaceutical, medical, or surgical treatment, it is important to investigate the roles of bias, systemic racism, and social determinants of health. Social determinants of health, including living environments, have a significant impact on clinical outcomes. Racial health disparities exist in various gynecologic procedures and outcomes, and investigating social determinants of health affecting patient outcomes is crucial. This study established a systematic and trackable process to determine the role of social determinants of health, bias, and racism in adverse gynecologic events.

OBSTETRICAL & GYNECOLOGICAL SURVEY (2023)

Article Obstetrics & Gynecology

We All Want to Be Able to Tell You Something Hopeful: Clinicians' Experiences Providing Maternal-Fetal Surgery Counseling

Abigail Wilpers, Erica Goldblatt Hyatt, Mert Ozan Bahtiyar, Yunzhe Hu, Daisy Leon-Martinez, Frank Chervenak, Judith L. M. Mccoyd

Summary: The study aims to develop a deeper understanding of the methods clinicians currently use to train for and provide counseling about maternal-fetal surgery. Findings indicate a lack of evidence-based communication practices and guidance, as well as systemic limitations affecting pregnant people's decision-making options related to maternal-fetal surgery.

FETAL DIAGNOSIS AND THERAPY (2023)

Article Obstetrics & Gynecology

Understanding Sociodemographic Disparities in Maternal-Fetal Surgery Study Participation

Abigail Wilpers, Anna Y. Lynn, Barbara Eichhorn, Amy B. Powne, Megan Lagueux, Janene Batten, Mert Ozan Bahtiyar, Cary P. Gross

Summary: The quality of sociodemographic reporting in maternal-fetal surgery studies is poor and fails to adequately represent the racial and ethnic diversity of different disease populations.

FETAL DIAGNOSIS AND THERAPY (2022)

Article Medicine, Research & Experimental

Rapid emergence of SARS-CoV-2 Omicron variant is associated with an infection advantage over Delta in vaccinated persons

Chrispin Chaguza, Andreas Coppi, Rebecca Earnest, David Ferguson, Nicholas Kerantzas, Frederick Warner, H. Patrick Young, Mallery Breban, Kendall Billig, Robert Tobias Koch, Kien Pham, Chaney C. Kalinich, Isabel M. Ott, Joseph R. Fauver, Anne M. Hahn, Irina R. Tikhonova, Christopher Castaldi, Bony De Kumar, Christian M. Pettker, Joshua L. Warren, Daniel M. Weinberger, Marie L. Landry, David R. Peaper, Wade Schulz, Chantal B. F. Vogels, Nathan D. Grubaugh

Summary: This study found that the odds of being infected with the Omicron variant were higher among vaccinated individuals compared to the Delta variant, and these odds increased with the number of vaccine doses. The positivity rates for the Delta variant were significantly reduced after two and three vaccine doses compared to unvaccinated individuals, while the positivity rate for the Omicron variant only significantly decreased after three doses.
Letter Obstetrics & Gynecology

Prediction and Prevention of Spontaneous Preterm Birth: ACOG Practice Bulletin, Number 234 Reply

Christopher M. Zahn, Marc Jackson, Hyagriv N. Simhan, Christian M. Pettker

OBSTETRICS AND GYNECOLOGY (2021)

No Data Available