Lung liquid production rates and volumes do not decrease before labor in healthy fetal sheep

Lines, A., S. B. Hooper, and R. Harding. Lung liquidproduction rates and volumes do not decrease before labor in healthy fetal sheep. J. Appl. Physiol. 82(3):927-932, 1997.Previous studies have suggested that the volumeand production rate of fetal lung liquid decrease late in gestation,before the onset of labor, in preparation for the clearance of lungliquid at birth. In contrast, our earlier studies have not shown adecrease in lung liquid volume near term, although these studies werenot continued to the onset of labor. Our aim was to determine the changes in lung liquid volume and production rate in fetal sheep duringthe last 2 wk of gestation up to the onset of labor at term (~147days). In eight chronically catheterized fetal sheep, the volume andproduction rate of fetal lung liquid were measured at 130, 135, and 140 days of gestation and then on every 2nd day until the onset oflabor. Labor was detected by monitoring uterine muscleactivity and intrauterine pressure changes. On the day of labor onset,which occurred at 147 ± 1 days of gestation, fetuses weighed 5.0 ± 0.2 kg. The volume of fetal lung liquid was 40.4 ± 2.7 ml/kgat 19 ± 1 days before labor onset and had not significantly changedby 0.7 ± 0.2 days (44.8 ± 5.1 ml/kg) before labor. Similarly, lung liquid production rates at 19 ± 1 days before labor (5.1 ± 1.8 ml ^· h^{1 ·} kg¹)were not significantly different from those at 0.7 ± 0.2 days before labor (3.4 ± 0.7 ml ^· h^{1 ·} kg¹).We conclude that, in healthy ovine fetuses, lung liquid volumes andproduction rates do not decrease before the onset of labor. Our resultsindicate that the entire volume of fetal lung liquid (~222.5 ± 36.6 ml) must be cleared after the onset of labor.