Bauk F A, Moron A F, Novo N F, Juliano Y, Rodrigues E B, Kulay L
Departamento de Tocoginegologia, Universidade Federal de São Paulo, SP.
Rev Assoc Med Bras (1992). 1996 Jan-Mar;42(1):7-10.
The amniotic fluid physiology is a dynamic process involving maternal and fetal compartments and depends on gestational age.
To analyze the concentration of sodium, potassium, urea, creatinine, and uric acid in the amniotic fluid of normal pregnant women in the second and third trimester. Also, to evaluate the influence of maternal age, race, parity, and fetal sex on those elements.
Fifty samples obtained by genetic amniocentesis (15-20 weeks, group I) and fifty obtained by elective cesarean section (38-42 weeks, group II) were analyzed. According to the variables we used the following statistical tests: Analysis of variance; Test t Student: Chi-square test; Mann-Whitney test (a 0.05 pounds).
In group II, urea, creatinine and uric acid levels were significantly higher than in group I. The sodium level was significantly lower in group II compared with group I. The potassium concentration did not show any significant difference in both groups. There was no significant interference of maternal age, race, parity and fetal sex in any of the five studied variables.
These findings were emphasized for prenatal diagnosis purposes and analysis of renal function. The authors suggest future comparisons of obtained "normal" data with pathological situations.
羊水生理学是一个涉及母体和胎儿部分的动态过程,并且取决于孕周。
分析妊娠中期和晚期正常孕妇羊水中钠、钾、尿素、肌酐和尿酸的浓度。此外,评估母亲年龄、种族、产次和胎儿性别对这些成分的影响。
分析通过遗传羊膜腔穿刺术获取的50份样本(15 - 20周,第一组)和通过选择性剖宫产获取的50份样本(38 - 42周,第二组)。根据变量我们使用了以下统计检验:方差分析;t检验;卡方检验;曼 - 惠特尼检验(α = 0.05)。
在第二组中,尿素、肌酐和尿酸水平显著高于第一组。与第一组相比,第二组的钠水平显著降低。两组中的钾浓度没有显示出任何显著差异。母亲年龄、种族、产次和胎儿性别在五个研究变量中的任何一个中均未显示出显著干扰。
这些发现对于产前诊断目的和肾功能分析具有重要意义。作者建议未来将获得的“正常”数据与病理情况进行比较。