PMID: 8606896Nov 1, 1995Paper

Complications of cordocentesis in high-risk pregnancies: effects on fetal loss or preterm delivery

Prenatal Diagnosis
G BernaschekJ Deutinger

Abstract

Between 1990 and 1993, 166 cases underwent cordocentesis and were followed for at least the following 4 weeks in the Prenatal Diagnosis and Therapy Centre of Vienna University. The indications for the procedure were structural malformations in 46.4 per cent of the cases, other high-risk diagnosis in 48.8 per cent, and maternal age over 35 years in only 4.8 per cent. We investigated retrospectively all cases of complications resulting in fetal loss or preterm labour. Abortion, intrauterine fetal death, chorioamnionitis, and preterm delivery occurred in 0.6, 5.4, 0.6 and 9.0 per cent of these cases, respectively, adding up to a total of 26 cases (15.7 per cent). Although this rate looks relatively high, 20 of the 26 cases had already displayed signs implying a complicated prognosis. Neither maternal age, gestational age, number of attempts, nor placental location correlated with fetal loss or preterm delivery. Significantly higher rates of fetal loss or preterm delivery were observed when cordocentesis was performed in cases diagnosed as duodenal/intestinal stenosis or hydrops-ascites-hydrothorax/hygroma colli (P = 0.0488 and P = 0.0005). The frequency of complications did not decrease as the experience of the operators increased.

References

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Citations

Dec 31, 2010·Irish Journal of Medical Science·J SikovanyeczA Pál
Jan 26, 2012·Prenatal Diagnosis·Kuanoon BoupaijitTheera Tongsong
Jan 27, 2005·American Journal of Obstetrics and Gynecology·Inge L Van KampHumphrey H H Kanhai
Sep 9, 2005·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Jung-Yeol Han, Alejandro A Nava-Ocampo
Mar 23, 2001·American Journal of Obstetrics and Gynecology·T TongsongP Chanprapaph
Oct 7, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A AntsaklisS Michalas
Aug 28, 2012·Gynecologic and Obstetric Investigation·Theera TongsongSupatra Sirichotiyakul
Nov 14, 1997·Prenatal Diagnosis·M R UlmG Bernaschek
Jul 27, 2011·Prenatal Diagnosis·Kasemsri SrisupunditTheera Tongsong
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Jodie M DoddInge L van Kamp
Nov 5, 1997·The Journal of Clinical Endocrinology and Metabolism·R BajoriaS F Contractor
Jan 1, 1997·Journal of Perinatal Medicine·F C Battaglia, A M Marconi

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