Amniotic Fluid Flashcards
Anti-hCG source
Rabbit
hCG peaks during
1st Trimester of Pregnancy
Priciple of Home-based HCG Pregnancy test Kit
Enzyme Immunoassay
Cut-off point for pregnancy test kit
25 mIU/mL
Ultimate source of amniotic fluid water and solutes, and is a product of fetal metabolism
Placenta
primary function of Amniotic fluid
Cushion for the fetus
Stabilizes temperature
Allows fetal movement
Proper kung development
Amniotic fluid volume is from
Fetal urine and lung fluid
Normal Amniotic fluid volume in 3rd trimester
800 - 1200 mL
During the 1st trimester 35mL of AF is derived from
Maternal circulation
Fetal urine is the major contributor to the AF volume AFTER the
1st Trimester
Placed on ICE DELIVERY, kept REFRIGERATED or FROZEN
filtration prevents loss of PHOSPHOLIPIDS
Test for FETAL LUNG MATURITY
Kept at ROOM TEMPERATURE or at 37C
Test for CYTOGENETICS STUDIES
Protected from Light
Test for HDN
Detects premature rupture of membranes, also used to diagnosed EARLY PREGNANCY
Fern Test
Colorless- Pale Yellow
Normal
Traumatic tap, abd. Trauma, Intra-amniotic hemorrhage
Blood-Streaked
HDN Bilirubin
Yellow
Meconium 1st fetal bowel movement
Dark-Green
Fetal Death
Dark Red - Brown
Ratio of Mature Fetal Lungs
> = 2.0
CANNOT be performed in the presence of Blood and Meconium
L/S Ratio
Reference method for Alveolar Stability
Lecithin
Serves as a control due to constant production
Sphingomyelin
Amniostat FLM is an immunologic test for
Phosphatidylglycerol (PG)
NOT AFFECTED by Blood or meconium; production of PG is delayed among diabetic Mothers
Amniostat-FLM
Reagent Used in Foam stability/ Shake test
95% Ethanol
Measures by Fluorescence polarization
Microviscosity
Produced srufactants stored in te form of lamellar bodies
Type II pneumocytes
Lamellar Body Count considered to have Adequate FLM
> 32,000 /uL
LBC can be done using IMPEDANCE or
Optical scatter
O.D. of _____ is equivalent to L:S ration of >=2.0 and the presence of PG
> =0.150
test for fetal age prior to 36 weeks of gestation
1.5 to 2.0 mg/dL amniotic fluid creatinine
A test for HDN which is the OLDEST ROUTINE lab test on amniotic fluid
O.D. 450
Normal absorbance of Amniotic Fluid
^ at 365nm < at 550nm
Non-affected or Mildly affected fetus
Zone I
Moderately affected fetus, requires careful monitoring
Zone II
Severly affected fetus, requires intervention: labor or EXCHANGE TRANSFUSION
Zone III
What is used to extract or remove hemoglobin to remove interference
Chloroform
it shows A450 values from 14-40 weeks of gestation
Queenan curve (Mod. Liley curve)
Screening test for NTD
AFP
Confirmatory test for NTD
Acetylcholinesterase
It is the major protein produced by the FETAL LIVER during early gestation (prior to 18 weeks)
AFP