The tap test--a rapid bedside indicator of fetal lung maturity

The reliability of two rapid bedside tests of fetal lung maturity was investigated in 80 amniotic fluid samples. The results of the 'tap' test and those of the shake test were compared with the results of laboratory measurements of phospholipid profiles for fetal lung maturity. The tap test was found to be more reliable with a positive predictive value of 91% and a negative predictive value of 63%, whereas the shake test had a positive predictive value of 79% and a negative predictive value of 31%. The tap test was also more reliable in identifying fetuses with borderline lecithin/sphingomyelin ratios in the range 3.2-3.7:1.