The Predictive Value of Amniotic Fluid pH and Electrolytes on Neonatal Respiratory Disorders

NCT02813954 — Completed, 184 participants, Kanuni Sultan Suleyman Training and Research Hospital

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RegistryNCT02813954
StatusCompleted
Study typeObservational
Enrollment184 (Actual)
SponsorKanuni Sultan Suleyman Training and Research Hospital (Other)
ConditionsRespiratory Distress Syndrome, Transient Tachypnea of Newborn
InterventionsBlood Gas Sampling (Device)
Datesstart 2015-08-01, primary completion 2016-04-01, completion 2016-04-01, first posted 2016-06-27, last updated 2022-08-18

Related Papers Related Patents Related Grants Related Experts
All trials for Respiratory Distress Syndrome All trials for Transient Tachypnea of Newborn All trials of Blood Gas Sampling

-Summary

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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+Arms and interventions

ArmTypeInterventionsDescription
Study GroupDevice: Blood Gas SamplingNeonates with respiratory distress
Control GroupHealthy Infants
  • Blood Gas Sampling (Device): analyzing amniotic fluid by blood gas device

+Outcome measures

Primary outcomes

  • The Predictive Value of Amniotic Fluid pH and Electrolytes on Neonatal Respiratory Disorders [8 months]

+Eligibility

Sex: All, ages: any to 25 Hours, accepts healthy volunteers

Inclusion Criteria:

Accepted to participate with informed consent Normal healthy pregnancies

Exclusion Criteria:

Congenital abnormalities Chromosomal abnormalities Blood contaminated AF Declined to participate

+Publications

  • Results publication: 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. PMID 30033781

+Investigators