FRONTIERS IN BIOSCIENCE;
AMNIOTIC FLUID



Table of Conents

TYPICAL REFERENCE INTERVALS

COMPONENT

CONVENTIONAL UNITS

FACTOR

RECOMMENDED SI UNITS

APPEARANCE

Early Gestation

Term

Clear

Clear or slightly opalescent

-

-

Clear

Clear or slightly opalescent

ALBUMIN

Early Gestation

Term

0.39 g/dL

0.19 g/dL

10

3.9 g/L

1.9 g/L

BILIRUBIN

Early Gestation

Term

<0.075 mg/dL

<0.025 mg/dL

17.10

<1.3 µmol/L

<0.41µmol/L

CHLORIDE

Early Gestation

Term

Approximately equal to serum chloride

Generally 1-3 mEq/L lower than serum chloride

-

1

Generally 1-3 mmol/L lower than serum chloride

CREATININE

Early Gestation

Term

0.8 - 1.1 mg/dL

1.8 - 4.0 mg/dL (generally >2 mg/dL)

88.40

71 - 97 µmol/L

159 - 354 µmol/L (generally >177 µmol/L)

ESTRIOL

Early Gestation

Term

<10 µg/dL

<60 µg/dL

3.468

<347 nmol/L

>2081 nmol/L

LECITHIN/SPHINGOMYELIN

Early (Immature)

Term (Mature)

<1:1

>2:1

1

1

<1:1

>2:1

OSMOLALITY

Early Gestation

Term

Approximately equal to serum osmolality

230 - 270 mOsm/kg

1

1

Approximately equal to serum osmolality

230 - 270 mmol/kg

PCO2

Early Gestation

Term

33 - 55 mm Hg

42 - 55 mm Hg (increases toward term)

0.1333

4.4 - 7.3 kPa

5.6 - 7.3 kPa (increases toward term)

pH

Early Gestation

Term

7.12 - 7.38

6.91 - 7.43 (decreases toward term)

1

7.12 - 7.38

6.91 - 7.43

PROTEIN, TOTAL

Early Gestation

Term

0.60 ± 0.24 g/dL

0.26 ± 0.19 g/dL

10

60 ± 2.4 g/L

2.6 ± 1.9 g/L

SODIUM

Early Gestation

Term

Approximately equal to serum sodium

7 - 10 mEq/L lower than serum sodium

1

7 - 10 mmol/L lower than serum sodium

CYTOLOGICSTAINING,

OIL RED O

Early Gestation

Term

NILE BLUE SULFATE

Early Gestation

Term

<10%

>50%

0

>20%

0.01

0.01

Stained fraction: <0.1

>0.5

Stained fraction: <0.0

>0.2

Urea

Early Gestation

Term

18.0 ± 5.9 mg/dL

30.3 ± 11.4 mg/dL

0.1665

3.00 ± 0.98 mmol/L

5.04 ± 1.90 mmol/L

URIC ACID

Early Gestation

Term

3.72 ± 0.96 mg/dL

9.90 ± 2.23 mg/dL

59.48

221 ± 57 µmol/L

589 ± 133 µmol/L

VOLUME

Early Gestation

Term

450 - 1200 mL

500 - 1400 mL (increases toward term)

0.001

0.45 - 1.2 L

0.5 - 1.4 L (increases toward term)