[Cordocentesis: experience in 391 initial samples].
The first diagnostic cordocentesis was performed in our unit in october 1985. Our 4-year experience is reported: 391 cordocentesis were performed in 360 patients during gestational weeks 14 to 42. The first attempt was successful in 90% of the procedures, 4 samplings failed, there were 4 fetal deaths within one week after diagnostic cordocentesis, one of them appears to be directly linked to the punction. A transient fetal bradycardia was observed in 9.9% of the cases, bleeding occurred in 19% of the cases. The indications for cordocentesis were: risk of fetal infection, karyotyping, hemopathy, search for paternity, assessment of fetal acid-base status, biochemical dosage. Our data confirm that cordocentesis is a safe and reliable diagnostic procedure providing guidelines for management of the pregnancy.
Donner
C
C
Laboratoire de Cytogénétique, Hôpital Universitaire Brugmann.
Simon
P
P
Gosselin
F
F
Vermeylen
D
D
Avni
F
F
Liesnard
C
C
Vamos
E
E
Cochaux
P
P
Vassart
G
G
Rodesch
F
F
D002869:Chromosome Aberrations / Q000235:genetics; D025063:Chromosome Disorders; D000013:Congenital Abnormalities / Q000235:genetics; D005260:Female; D005312:Fetal Blood / Q000032:analysis*; D005315:Fetal Diseases / Q000097:blood*; D006801:Humans; D011247:Pregnancy; D011677:Punctures / Q000009:adverse effects / Q000379:methods; D014470:Umbilical Cord
La cordocentèse: expérience des 391 premiers prélèvements.