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Amniotic fluid (AF) is a complex structure with a changing content by gestational time. AF pH can be affected by both maternal and fetal conditions such as preterm ruptures of membranes, prematurity and fetal distress. While fetal urine is the major content of AF since 20th gestational week, fetal lung liquid (FLL) also acts as a minor content. Secretion of FLL depends on chloride transport and postnatal clearance of FLL is provided by active reabsorption of sodium (Na) ions. Down-regulation of epithelial Na channels (ENaCs) and an increase of pulmonary compliance accompany to pulmonary adaptation developing at the first hours of life. Lower genomic expression of Na channels in airways is shown to be associated to respiratory distress syndrome (RDS) in preterm. Although pH and electrolyte value of AF is thought to be relevant to fetal and maternal conditions such as gestational age, antenatal steroids and preterm birth, there is no study about this topic in the literature.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study Group | Neonates with respiratory distress |
| |
| Control Group | Healthy Infants |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood Gas Sampling | Device | analyzing amniotic fluid by blood gas device |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Predictive Value of Amniotic Fluid pH and Electrolytes on Neonatal Respiratory Disorders | 8 months |
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Inclusion Criteria:
Accepted to participate with informed consent Normal healthy pregnancies
Exclusion Criteria:
Congenital abnormalities Chromosomal abnormalities Blood contaminated AF Declined to participate
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| Name | Affiliation | Role |
|---|---|---|
| Seda Yilmaz Semerci | Postdoctoral Fellow of Neonatology | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30033781 | Derived | Yilmaz Semerci S, Yucel B, Erbas IM, Gunkaya OS, Talmac M, Cetinkaya M. The utility of amniotic fluid pH and electrolytes for prediction of neonatal respiratory disorders. J Matern Fetal Neonatal Med. 2020 Jan;33(2):253-257. doi: 10.1080/14767058.2018.1488961. Epub 2018 Jul 22. |
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| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| D059245 | Transient Tachypnea of the Newborn |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
| D012127 | Respiratory Distress Syndrome, Newborn |
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| D059246 | Tachypnea |
| D007235 | Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |