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Abstract

Phosphatidylglycerol is an important indicator of fetal lung maturation, which plays a role in stabilizing surfactant lipoprotein complex. Corticosteroid antenatal can stimulate the synthesis of pulmonary surfactant in infants with preterm birth. The objective of this study is to examine the phosphatidylglycerol levels as fetal lung maturation parameter after dexamethasone administration in women with preterm birth compared to L/S ratio parameter. This study was prospective longitudinal (cohort). The samples were pregnant women with preterm birth risk at 28-34 weeks gestation getting the therapy of antenatal dexamethasone 6 mg IM every 12 hours given 4 times in 48 hours. The samples were 17 patients. Determination of L/S ratio and PG levels was performed by ELISA. The study was conducted from May - November 2015 and reviewed to obtain ethics eligibility permit by the research ethic committees of Dr. Soetomo General Hospital. The results show that the mean value of L/S ratio is 2.28 with a range of 1.35 to 9.06 and the mean of PG level is 1.17 with a range from 0 to 3.79. L/S ratio and PG show no significant relationship between the two of them. Increased levels of PG on the gestational age of 28-32 weeks have not demonstrated clinically significant changes yet. The highest PG level occurs in the gestational age of 32-34 weeks.

Keywords

corticosteroid preterm birth phosphatidylglycerol fetal lung maturity

Article Details

How to Cite
Rahmadani, R. U., Sulistyono, A., Yulistiani, Y., & Yahya, M. (2017). PHOSPHATIDYLGLYCEROL STUDY AS FETAL LUNG MATURATION PARAMETER AFTER DEXAMETHASONE ADMINISTRATION FOR WOMEN AT RISK OF PRETERM BIRTH. Folia Medica Indonesiana, 52(4), 264–269. https://doi.org/10.20473/fmi.v52i4.5473

References

  1. Akella A and Deshpande SB (2013). Pulmonary surfactants and their role in pathophysiology of lung disorders. Indian Journal of Experimental Biology 51, 5-22
  2. Amanullah M, Abadi A, Indarso F (2002). Perbandingan Pemeriksaan Kadar Badan Lamellar dan Tes Stabilitas Busa Dalam Cairan Amnion Sebagai Alat Prediksi Kejadian RDS Pada Bayi Prematur. Laporan Penelitian Program Pendidikan dokter spesialis I Departemen/SMF Ilmu Kebidanan dan Penyakit kandungan Fakultas Kedokteran Universitas Airlangga/RSUD Dr. Soetomo, Surabaya. Unpublished
  3. Bunt JE, Carnielli VP, Wattimena LD, Hop WC, Sauer PJ, Zimmermann LJ (2000). The effect in premature infants of prenatal corticosteroids on endogenous surfactant synthesis as measured with stable isotopes. Am J Respir Crit Care Med 162, 844–849
  4. Cunningham FG et al (2010). Williams Obstetrics and Gynecology, New York, McGraw-Hills, p 804-831
  5. Faizah RN, Yahya M, Yulistiani, Abadi A (2015). Dexamethasone study for prenatal lung maturation on lecithin/sphingomyelin ratio in women at risk of preterm birth. Folia Medica Indonesiana 51, 45-52
  6. Fakhoury G, Daikoku NH, Benser J, Dubin NH (1994). Lamellar body concentrations and the prediction of fetal pulmonary maturity. Am J Obstet Gynecol 170, 72-76
  7. Farquharason J, Jamieson EC, Paton RD, Black J, Logan RW (1985). Quantitative determination of phosphat-idylglycerol in amniotic fluid by enzymatic assay. Clin Chim Acts 152, 55-61
  8. Gluck L and Kulovich MV (1973). Lesithin/sphingomyelin ratios in amniotic fluid in normal and abnormal pregnancy. Am J Obstet Gynecol 115, 539-546
  9. Hamilton PR, Hauschild D, Broekhuizen FF, Beck EM (1984). Comparison of lecithin: sphingomyelin ratio, fluorescence polarization, and phosphatidyl glycerol in the amniotic fluid in the prediction of respiratory distress syndrome. Obstet Gynecol 63, 52-56
  10. Herbert W and Chapman JF (1986). Current methods of evaluating fetal lung maturity. Birthatory Med 17, 597-602
  11. Honrubia D and Stark AR (2004). Respiratory distress syndrome. In : Cloherthy J, Eichenwald EC, Stark AR (eds). Manual of Neonatal Care, 5th ed, Philadelphia, Lippincott Williams & Wilkins, p 341-361
  12. Kulovich MV, Hallman MB, Gluck L. The long profile. I. Normal regnancy. Am J Obstet Gynecol 1979;135:57-63.
  13. Maher JE, Cliver SP, Goldenberg RL, DaVis RO, Copper RL (1994). The effect of corticosteroid therapy in the very premature infant. AM J Obstetry Gynecol 170, 869-873
  14. Obladen M, Merritt TA, Gluck L (1979). Acceleration of pulmonary surfactant maturation in stressed pregnancies: a study of neonatal lung effluent. Am J Obstet Gynecol 135, 1079–1084
  15. Poynter S and Marie Ann (2003). Surfactan biology and clinical application. Crit Care Clin 19, 459-473
  16. Rennie JM and Roberton NRC (2001). Respiratory Distress Syndrome. In: Roberton NRC, Rennie J, Kendall G (eds). A Manual of Neonatal Intensive Care, 4th ed, Florida, CRC Press
  17. Siegel L, Walker SI, Robin NI (1983). An enzymatic radiochemical nethod for determining phosphatid-yiglycerol in amniotic fluid. Clin Chem 29, 782-785
  18. Yu SH and Possmayer F (2003). Lipid compositional analysis of pulmonary surfactant monolayers and monolayer-associated reservoirs. J Lipid Res 44, 621-629

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