Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital
Objective: To evaluate the incidence and volume of feto-maternal hemorrhage following cordocentesis. Study Design: Descriptive study. Material and Method: One hundred and sixteen asymptomatic non-anemic pregnant -women with an indication for cordocentesis at 18-22 weeks of gestation between January...
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th-cmuir.6653943832-624172018-09-11T09:27:01Z Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital Jittima Rujiwetpongstorn Theera Tongsong Chanane Wanapirak Wirawit Piyamongkol Supatra Sirichotiyakul Pharuhas Chanprapaph Fuanglada Tongprasert Medicine Objective: To evaluate the incidence and volume of feto-maternal hemorrhage following cordocentesis. Study Design: Descriptive study. Material and Method: One hundred and sixteen asymptomatic non-anemic pregnant -women with an indication for cordocentesis at 18-22 weeks of gestation between January and June 2004 were recruited. Maternal blood samples were obtained immediately before and 30 minutes after cordocentesis. Fetal cells in the maternal blood were counted using Kleihauer Betke test. About 25,000 maternal cells per slide were scanned by the same examiner. Feto-maternal hemorrhage was considered significant if the fetal bleeding was more than 0.25 ml. Results: There was a significant increase in fetal blood volume in maternal circulation after cordocentesis (Paired Student's t test, p < 0.001). A significant hemorrhage (> 0.25 ml) occurred in 63 from 116 women (54.7%). Only one had marked hemorrhage of more than 5.0 ml and none had massive hemorrhage (> 15 ml). Conclusion: Cordocentesis at 18-22 weeks of gestation can be associated with feto-maternal hemorrhage in more than half of the cases but nearly all cases had only minimal hemorrhage and none had massive hemorrhage. 2018-09-11T09:27:01Z 2018-09-11T09:27:01Z 2005-02-01 Journal 01252208 2-s2.0-20444464425 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=20444464425&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/62417 |
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Medicine Jittima Rujiwetpongstorn Theera Tongsong Chanane Wanapirak Wirawit Piyamongkol Supatra Sirichotiyakul Pharuhas Chanprapaph Fuanglada Tongprasert Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
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Objective: To evaluate the incidence and volume of feto-maternal hemorrhage following cordocentesis. Study Design: Descriptive study. Material and Method: One hundred and sixteen asymptomatic non-anemic pregnant -women with an indication for cordocentesis at 18-22 weeks of gestation between January and June 2004 were recruited. Maternal blood samples were obtained immediately before and 30 minutes after cordocentesis. Fetal cells in the maternal blood were counted using Kleihauer Betke test. About 25,000 maternal cells per slide were scanned by the same examiner. Feto-maternal hemorrhage was considered significant if the fetal bleeding was more than 0.25 ml. Results: There was a significant increase in fetal blood volume in maternal circulation after cordocentesis (Paired Student's t test, p < 0.001). A significant hemorrhage (> 0.25 ml) occurred in 63 from 116 women (54.7%). Only one had marked hemorrhage of more than 5.0 ml and none had massive hemorrhage (> 15 ml). Conclusion: Cordocentesis at 18-22 weeks of gestation can be associated with feto-maternal hemorrhage in more than half of the cases but nearly all cases had only minimal hemorrhage and none had massive hemorrhage. |
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Jittima Rujiwetpongstorn Theera Tongsong Chanane Wanapirak Wirawit Piyamongkol Supatra Sirichotiyakul Pharuhas Chanprapaph Fuanglada Tongprasert |
author_facet |
Jittima Rujiwetpongstorn Theera Tongsong Chanane Wanapirak Wirawit Piyamongkol Supatra Sirichotiyakul Pharuhas Chanprapaph Fuanglada Tongprasert |
author_sort |
Jittima Rujiwetpongstorn |
title |
Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
title_short |
Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
title_full |
Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
title_fullStr |
Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
title_full_unstemmed |
Feto-maternal hemorrhage after cordocentesis at Maharaj Nakorn Chiang Mai Hospital |
title_sort |
feto-maternal hemorrhage after cordocentesis at maharaj nakorn chiang mai hospital |
publishDate |
2018 |
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https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=20444464425&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/62417 |
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