Phospholipid concentrations in amniotic fluid from diabetic pregnant women

Amniotic fluid phospholipid concentrations measured in 104 samples from 65 diabetic patients have been related to gestational age, tevelopment of the respiratory distress syndrome (RDS). There is statistically significant evidence of accelerated surfactant production in White classes D, F, from 34 to 37 weeks gestation. Classes A, B, C, have phospholipid concentrations not significantly different from a reference series. RDS occurred in 26% and was frequently associated with mature phospholipid concentrations. There was a significant correlation between low Apgar scores and subsequent development of RDS.