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Abstract
Because of various prenatal diagnoses, 606 fetal blood samplings were carried out
in 562 pregnancies from the gestational week 17 to 38 with use of a 20-gauge needle
guided by ultrasound. The. procedure was performed on outpatients under local anesthesia
and without medication before or after the procedure. Pure fetal blood was obtained
at the first attempt in 588 cases. A second attempt was necessary in 18 cases. Maternal
blood contamination was never present. Amniotic fluid dilution was noted in 15 cases.
At the beginning of our experience only three cords could not be punctured. The duration
of the procedure was less than 10 minutes in 90% of cases. Fifty-eight pregnancies
were terminated after consideration of the results of the diagnosis, and 504 pregnancies
were continued. The complications found in these pregnancies were premature delivery
(5%), growth retardation (8%), in utero death (1.1%), and spontaneous abortion (0.8%).
In the future this new procedure could replace fetoscopy and initiate an important
field of new investigations.
Keywords
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Article Info
Publication History
Accepted:
August 26,
1985
Received in revised form:
August 26,
1985
Received:
April 2,
1985
Identification
Copyright
© 1985 Mosby. Published by Elsevier Inc. All rights reserved.
