A technique using solubilization with sodium cholate to resolve P-31 N
MR resonances of phospholipid molecular species was applied to amnioti
c fluid samples from 16 subjects. Gestational ages from 25 to 40 weeks
were represented, and two subjects were sampled sequentially. Fitting
of the partially resolved P-31 NMR signal of phosphatidylcholine (PC)
generated an estimate of percent disaturated acyl PC (%dsPC) which co
rrelated more highly with gestational age than did several other poten
tial indices of fetal lung maturation, such as the ratio of PC to inor
ganic phosphate from the solubilized spectra, or PC to sphingomyelin f
rom extract spectra. In a few cases, enzyme-catalyzed PC hydrolysis li
mited the precision, but did not appear to affect the accuracy, of the
%dsPC estimates. Resolution of palmitoyl and oleoyl lyso-PC species w
as observed for both the 1- and 2-acyl isomers. Upfield shifts due to
the presence of cis double bonds in the lone acyl chain of the lyso-PC
s were analogous to those observed for the diacyl PCs.