Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes

Objectives: To compare the rates of fetal loss, low birth weight, and preterm birth between pregnancies undergoing cordocentesis at mid-pregnancy with placenta penetration and those without it. Methods: Consecutive cases of cordocenteses were prospectively recorded. The inclusion criteria for analys...

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Main Authors: Boupaijit K., Wanapirak C., Piyamongkol W., Sirichotiyakul S., Tongsong T.
Format: Article
Language:English
Published: 2014
Online Access:http://www.ncbi.nlm.nih.gov/pubmed/22275319
http://www.scopus.com/inward/record.url?eid=2-s2.0-84857507978&partnerID=40&md5=bd461e24f989c0344218a2982b0ae7bc
http://cmuir.cmu.ac.th/handle/6653943832/3048
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-30482014-08-30T02:25:42Z Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes Boupaijit K. Wanapirak C. Piyamongkol W. Sirichotiyakul S. Tongsong T. Objectives: To compare the rates of fetal loss, low birth weight, and preterm birth between pregnancies undergoing cordocentesis at mid-pregnancy with placenta penetration and those without it. Methods: Consecutive cases of cordocenteses were prospectively recorded. The inclusion criteria for analysis were: (1) singleton pregnancies, (2) no fetal abnormalities, (3) gestational age of 18-22weeks, and (4) procedures performed by experienced operators. The primary outcome was fetal loss rate, and the secondary outcomes were rates of failed procedures, low birth weight, and preterm birth. Results: Of 6147 cordocenteses recorded, 2829 met the inclusion criteria with complete data for analysis. Of these, 654 procedures were further excluded because the puncture site was at cord insertion. The remaining 2175 cases, consisting of 615 procedures with placenta penetration and 1560 cases with no penetration, were analyzed. Cordocenteses with placenta penetration had a significantly higher rate of fetal loss (3.6% vs 1.3%, p=0.01) as well as of low birth weight and preterm birth. Conclusion: Cordocentesis with placenta penetration carries a higher risk for fetal loss, preterm birth, and low birth weight. This information may be helpful in prenatal diagnosis counseling, and it may encourage performers to avoid placenta penetration, if possible. © 2012 John Wiley & Sons, Ltd. 2014-08-30T02:25:42Z 2014-08-30T02:25:42Z 2012 Article 1973851 10.1002/pd.2916 22275319 PRDID http://www.ncbi.nlm.nih.gov/pubmed/22275319 http://www.scopus.com/inward/record.url?eid=2-s2.0-84857507978&partnerID=40&md5=bd461e24f989c0344218a2982b0ae7bc http://cmuir.cmu.ac.th/handle/6653943832/3048 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Objectives: To compare the rates of fetal loss, low birth weight, and preterm birth between pregnancies undergoing cordocentesis at mid-pregnancy with placenta penetration and those without it. Methods: Consecutive cases of cordocenteses were prospectively recorded. The inclusion criteria for analysis were: (1) singleton pregnancies, (2) no fetal abnormalities, (3) gestational age of 18-22weeks, and (4) procedures performed by experienced operators. The primary outcome was fetal loss rate, and the secondary outcomes were rates of failed procedures, low birth weight, and preterm birth. Results: Of 6147 cordocenteses recorded, 2829 met the inclusion criteria with complete data for analysis. Of these, 654 procedures were further excluded because the puncture site was at cord insertion. The remaining 2175 cases, consisting of 615 procedures with placenta penetration and 1560 cases with no penetration, were analyzed. Cordocenteses with placenta penetration had a significantly higher rate of fetal loss (3.6% vs 1.3%, p=0.01) as well as of low birth weight and preterm birth. Conclusion: Cordocentesis with placenta penetration carries a higher risk for fetal loss, preterm birth, and low birth weight. This information may be helpful in prenatal diagnosis counseling, and it may encourage performers to avoid placenta penetration, if possible. © 2012 John Wiley & Sons, Ltd.
format Article
author Boupaijit K.
Wanapirak C.
Piyamongkol W.
Sirichotiyakul S.
Tongsong T.
spellingShingle Boupaijit K.
Wanapirak C.
Piyamongkol W.
Sirichotiyakul S.
Tongsong T.
Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
author_facet Boupaijit K.
Wanapirak C.
Piyamongkol W.
Sirichotiyakul S.
Tongsong T.
author_sort Boupaijit K.
title Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
title_short Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
title_full Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
title_fullStr Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
title_full_unstemmed Effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
title_sort effect of placenta penetration during cordocentesis at mid-pregnancy on fetal outcomes
publishDate 2014
url http://www.ncbi.nlm.nih.gov/pubmed/22275319
http://www.scopus.com/inward/record.url?eid=2-s2.0-84857507978&partnerID=40&md5=bd461e24f989c0344218a2982b0ae7bc
http://cmuir.cmu.ac.th/handle/6653943832/3048
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