Abstract

The birth weights and gestational age assessments, in weeks of neonates have been compared with the creatinine level and the percentage of orange-staining cells in the amniotic fluid. In an attempt to verify the accuracy of these tests, two groups were analyzed, the first with the use of the last normal menstrual period as obtained by maternal history and the second with the use of the clinical assessment of the neonate within 24 hours of birth. Correlation was also carried out with birth weight. The accuracy of creatinine concentration and orange-staining cells is not disturbed in high-risk pregnancies. The creatinine level is more accurate for both gestational age and baby weight than the percentage of orange-staining cells. When the gestational age is around 36 weeks, creatinine values are reliable; if the gestational age is 38 weeks or more, the orange-staining cell count is more accurate. The clinical assessment of gestational age is very accurate and helpful. It improves the results obtained by correlation of the gestational age with the percentage of orange-staining cells.

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