University of Iowa
Diagnostic Laboratories
(UIDL) Test Directory

319-384-7212 (local)
1-866-844-2522 (toll free)


Phosphatidylglycerol (PG) Order Code: PG
Order Form: Laboratory Requisition
Specimen:
Amniotic Fluid
Collection Medium:
Miscellaneous container; contact laboratory
Minimum:
Preferred minimum:  5 mL amniotic fluid
Absolute minimum:  1 mL anmiotic fluid
Testing
Schedule:
24 hrs/day, 7 days a week, including holidays.
Analytic Time:
3 hours (upon receipt in laboratory)
Reference Range:
Negative:  PG absent or <0.5 mcg/ml.  Significant risk of RDS
Low Positive:  Pg > or = to 0.5 mcg/ml.  Low risk of RDS
High Positive:  PG > 2 mcg/ml.  Mature
Comments:
Test performed only if amniotic fluid contains bilirubin, or if an 
immature or indeterminant fetal lung maturity result is obtained from a 
sample contaminated with meconium or blood.
Methodology:
Latex
Sample
Processing:
Submit in leakproof container.
Label transport tube with two patient identifiers, date and time of 
collection.
Sample
Storage:
Ambient or Room Temperature.
Transport
Instructions:
Place coolant packs on top of specimen in styrofoam container.
Place requisition into outside pocket of bag.
Ship at ambient temperature.
CPT Code:
84081

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Updated: 07/14/2008