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From the Departments of Obstetrics and Gynecology and Pediatrics, Temple University Medical School, Philadelphia, Pennsylvania
Abstract
The amniotic fluid lecithin-sphingomyelin ratio was studied in a patient who delivered an anencephalic fetus. The ratio was 3:1 at the thirty.nfth week of gestation. Study of the anencephalic infant at 1 and 4 days of age showed minimal adrenal cortical function. We conclude that normal fetal adrenal cortical function is not required for the production of pulmonary surfactant
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