[Hematological values in fetal blood by cordocentesis].
Reference ranges for four hematological parameters--hemoglobin, hematocrit, white blood cell and platelet count--in each gestation were established from values for fetal blood samples obtained by cordocentesis from 72 pregnancies at 16-39 weeks gestation. These 72 fetuses turned out as normal or single malformations which should not affect fetal hematological values. Significant correlations were observed between hemoglobin, hematocrit and platelet counts and the number of weeks of gestation. No correlation was found between the white blood cell count and gestational age. Fetal anemia (hematocrit was below the lower limit of the 95% confidence interval) was found in 18 (7%) of all the fetuses that underwent cordocentesis, including nonimmune hydrops fetalis (8 cases), Rh isoimmunization (4 cases), twin-to-twin transfusion syndrome (3 cases), trisomy 18 (2 cases) and autoimmune thrombocytopenia (1 case). Of 26 hydropic fetuses, 8 (31%) were anemic. The prognosis of those fetuses depended on either the gestational age or the severity of the fetal anemia. Our results are useful in diagnosing fetal hematological disorders and to make decisions for fetal therapy.
Murotsuki
J
J
Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai.
Okamura
K
K
Iwamoto
M
M
Kosuge
S
S
Kimura
Y
Y
Kobayashi
M
M
Takeyama
Y
Y
Yano
M
M
Yajima
A
A
D000740:Anemia / Q000175:diagnosis; D001800:Blood Specimen Collection / Q000379:methods; D005260:Female; D005312:Fetal Blood; D005315:Fetal Diseases / Q000175:diagnosis*; D005865:Gestational Age; D006403:Hematologic Tests; D006801:Humans; D011247:Pregnancy; D011296:Prenatal Diagnosis