Amniotic fluid macrophages from normal and malformed fetuses.

Amniotic fluid cells from normal and abnormal fetuses (neural tube defects and abdominal wall lesions) were examined uncultured and after short-term culture for macrophages. Morphology, adherence, phagocytosis, presence of Fc receptors and non-specific esterase were studied. The existence of macrophages in normal and abnormal fluids was confirmed, although the percentage and the absolute numbers varied greatly from specimen to specimen. The most marked increases in total macrophages were in cases of anencephaly. The significance of these macrophages and their value in prenatal diagnosis are discussed.