English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective: To observe the correlation between Amniotic Fluid Optical Density (AFOD) and functional maturity status of the newborn at caesarean delivery in 16 women with Gestational Diabetes Mellitus (GDM). Methods: Amniotic Fluid (A.F) samples were collected while doing caesarean sections around 38+wks CRL gestation. Uncentrifuged fresh AF samples were used for AFOD estimations with colorimeter at 650nm. HbA1c estimations were done for all women just before caesarean sections. These women received antenatal steroids as per the RCOG guidelines 1 . Babies were evaluated for functional maturity status in terms of APGAR scores, development of RDS after 5mnts, adherence of vernix on skin surface, and color of the skin. Birth weights were recorded by electronic weighing machine. Results:Fourteen of these 16 women, were observed to have mature AFOD values (0.98±0.27), at differentgestational ages (GA)ranging from 36w+6d to 39w+6d 2, 3 . Twelve of these 14 women had good glycemic control with HbA1c values between 5.1 and 5.6.Two women had poor glycemic control with HbA1c values 7.0 and 7.1. All these babies were fully functionally mature, and their skin was mature pale brown in color with very little vernix, and none of them developed RDS.Birth weights ranged from 2.6kg to 3.9kgs. Two women had premature AFOD values (<0.40) 2, 3 at 36w+6d and 40wks gestation. Their glycemic control was good with HbA1c values 5.4 and 5.6 respectively. Both these babies had plenty of vernix caseosa on skin surface, and developed severe RDS with in 5mnts after delivery which required invasive and noninvasive ventilation support and surfactant therapy. Conclusion: The concept of ‘individual term for each fetus’ 4 is also applicable in women with GDM. AFOD value 0.98±0.27 assures functionally mature babies who do not develop RDS irrespective of GA and glycemic control.Babies born with AFOD values<0.40 are functionallypremature irrespective of GA and arelikely to develop RDS which may require ventilator support.

Correlation between Amniotic Fluid Optical Density (AFOD) and functional maturity status of the newborn at caesarean delivery in GDM