Test Utilization: The Changing Landscape of Fetal Lung Maturity Testing
The lecithin-to-sphingomyelin (L/S) ratio determined by thin-layer chromatography was the first biochemical test for assessing the maturity of fetal lungs. While many outcome studies have demonstrated that the L/S ratio has good diagnostic sensitivity and specificity, the test is technically difficult and time consuming to perform and has poor precision. Despite the availability of other rapid tests for fetal lung maturity that have better clinical utility, the L/S ratio is still considered to be the gold standard test for determining fetal lung maturity. This presentation will discuss the current trends in fetal lung maturity testing, provide an overview of the available fetal lung maturity tests, and summarize their strengths and limitations.
