PubMed Health⌕ Search

Biomedical subjects

D R Aickin

Publications and source records attributed to D R Aickin.

At least 19 recordsLinked to original sources
PubMed1985

Second trimester maternal serum alpha-fetoprotein as an indicator of fetal risk.

Serum alpha-fetoprotein levels were raised to 2.0 or more times the median for gestation in 30 of 507 singleton pregnancies after excluding pregnancies complicated by fetal neural tube defects. The serum alpha-fetoprotein levels were significantly more often elevated in pregnancies complicated by prematurity, fetal heart rate abnormalities, delivery of a small for dates infant, a perinatal death and admission of the baby to the neonatal unit. While the predictive value of an elevated serum alpha-fetoprotein was 76% for abnormal outcomes in general it ranged between only 16% and 46% for specific abnormalities. The usefulness of this assay relates only to its ability to predict an abnormal outcome when performed during the second trimester.

Apgar Score↗
PubMed1984

Salivary estriol concentrations during normal pregnancies, and a comparison with plasma estriol.

Saliva would have advantages over plasma or urine for monitoring estriol during pregnancy. Specimen collection, after stimulation of flow by citric acid, is non-invasive and simple. We measured concentrations of unconjugated estriol in saliva and compared them with those in plasma in normal pregnancies, and found a good correlation (r = 0.79). In addition, trends of concentrations in saliva and plasma were statistically compared and found to be highly correlated. The variation among individuals in the saliva/plasma concentration ratio suggested that some inter-individual factor(s) may affect this relationship. The normal reference interval for unconjugated estriol concentration in saliva from 20 weeks of gestation to term was established.

Estriol↗
PubMed1984

Clinical usefulness of estriol assay for predicting "light-for-dates" infants.

A method was developed for determining clinical usefulness of a test for predicting "light-for-dates" infants before birth. The method was applied in a prospective study of assay of maternal estriol at 35-36 weeks of gestation as a means of identifying such infants. With the tenth centile for estriol values as the cutoff, low estriol values identified less than a third of all light-for-dates infants, and less than a third of pregnancies with low estriol values were associated with births of light-for-dates infants. Our reanalysis of data from three other published studies, using the same method of assessment, gave similar results. When laboratory tests are expected to provide clinically relevant information, we urge that data should be appropriately collected, analyzed, and reported, so clinical usefulness can be evaluated.

Estriol↗
PubMed1983

Amenorrhoea.

Explore the source record for details and available documents.

Adolescent↗
PubMed1983

Antenatal biochemical screening to predict low birthweight infants.

Urine and plasma oestriol, plasma progesterone, human placental lactogen, beta 1-glycoprotein and serum cystyl aminopeptidase were measured at intervals during 608 pregnancies. The predictive accuracy of low values for identification of pregnancies with low birthweight outcomes was assessed for each test at various gestations. Data were analysed to obtain 10th-90th centile values for each test from 28 weeks to delivery. Groups with values under different centile levels were compared: those under the lower centiles had higher proportions but smaller absolute numbers of low birthweight infants than those under higher centiles. No test was superior to the others at all centiles and gestations. Biochemical screening of pregnant populations to identify high-risk groups for intensive fetal monitoring has limited potential. If screening is used, the definition of high-risk groups is best achieved by practical rather than statistical criteria. If monitoring facilities are available and well accepted by patients then higher centile 'cut-offs' to define fetal risk may be used than when they are not. Combining any pair of tests with values below the 10th centile did not reduce false positive and negative predictions any more than could be achieved by movement of centiles up or down for a single test.

Cystinyl Aminopeptidase↗
PubMed1979

Fetal respiratory movements observed by ultrasound during abnormal pregnancies.

Observations of fetal respiratory movements were carried out during 35 pregnancies with complications likely to indicate increased fetal risk. Fetal breathing was demonstrated in 25 of 35 patients studied, and in 29 of 47 separate examinations. Of 17 patients delivering after 36 weeks gestation in whom observations were made with two weeks of delivery, three did not demonstrate fetal breathing. Infants born from these pregnancies were severely growth retarded in two instances and light for dates in the other. Although absent fetal breathing is likely to detect increased fetal hazard near term, the time and expense needed for accurate recording of fetal breathing will restrict application of the technique in the meantime.

Female↗
PubMed1978

The biochemical effects of a maternal hyperalimentation during pregnancy.

Six patients each with a very low 24-hour urine oestriol excretion were infused with hypertonic dextrose and amino acids for 48 hours prior to delivery. Amniotic fluid samples were studied before and after infusion. Lecithin sphingomyelin ratios and insulin levels were increased following infusions in all patients. There was usually a fall in amniotic fluid glucose and an increase in ammonia, amino acid nitrogen and osmolality following infusions. Maternal plasma oestriol, human placental lactogen, cystyl aminopeptidase and urine oestriol excretion were unchanged during the infusions.

Amino Acids↗
PubMed1978

Hypovolaemia, pre-eclampsia and diuretics.

Six patients with severe pre-eclampsia were found to have low central venous pressures. This was considered to be an indication that hypovolaemia was present, depsite concurrent generalized oedema. Treatment with sufficient intravenous saline and albumin, to restore the central venous pressure to normal, resulted in improved renal function and avoidance of permanent renal impairment in all cases. These observations support the view that diuretics should not be administered to patients with pre-eclampsia.

Adult↗
PubMed1977

The clinical significance of low urine oestriol values.

Urine oestriol values from 327 pregnancies with antenatal complications were measured between 30 weeks gestation and term. Mean values were much lower than those obtained from pregnancies without complications. When infants were light for dates or developed evidence of neonatal morbidity, oestriol values were more likely to have been below the normal range than in pregnancies resulting in deliveries of normal infants. There was no evidence of severe fetal jeopardy in most pregnancies with oestriol values below normal. Perinatal death was consistently predicted when urine oestriol values lay below a line joining 35 mumol/day at 30 weeks and 65 mumol/day at term.

Estriol↗