Description

The fluorescence polarization assay involves adding a fluorescent dye to amniotic fluid which is then examined by fluorescence polarization. The results using the NBD-PC dye correlate with the amount of surfactant relative to albumin in the amniotic fluid. As the fetus matures, the value decreases. The clinical performance by this method is comparable to the L/S ratio.


 

Testing:

A fluorescent dye (originally diphenylhexatriene, more recently NBD-phosphatidylcholine) is added to 0.5 ml of amniotic fluid and examined in a fluorescence polarimeter with excitation wavelength of 485 nm and emission wavelength of 525-550 nm. Results are expressed in mP units

Value

Interpretation

< 260 mP

mature

260 – 290 mP

indeterminate

> 290 mP

immature

 

False "positive" results (occurrence of respiratory distress with mature readings) occur with maternal diabetes mellitus.

 

Interferences:

(1) blood (serum and erythrocytes)

(2) meconium

(3) bilirubin

 


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