Cordocentesis (funipuncture) by maternal-fetal fellows: the learning curve
| Autor: | J. N. Martin, L. W. Hess, J. C. Morrison, Martin Rw, W. E. Roberts, J. R. Allbert, J. F. McCaul, R. C. Floyd, Kenneth G. Perry |
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| Rok vydání: | 1991 |
| Předmět: |
Embryology
Pediatrics medicine.medical_specialty Punctures Chorioamnionitis Ultrasonography Prenatal Pregnancy medicine Maternal fetal Humans Radiology Nuclear Medicine and imaging Fetus Blood Specimen Collection biology business.industry Mortality rate Obstetrics and Gynecology Fetal Bradycardia General Medicine medicine.disease biology.organism_classification Fetal Blood Perinatology Education Medical Graduate Tasa Pediatrics Perinatology and Child Health Gestation Female business |
| Zdroj: | Fetal diagnosis and therapy. 6(1-2) |
| ISSN: | 1015-3837 |
| Popis: | One hundred cordocenteses were attempted at the University of Mississippi Medical Center between July 1, 1989, and June 1, 1991. There were 1.3 attempts for each successful umbilical blood sampling. The overall success rate was 94%. The first-year fellows-in-training attempted 61 procedures with a 90.2% success rate within two attempts and an overall success rate of 95.1%. Second-year fellows attempted 32 procedures with a 93.8% success rate within two attempts and an overall success rate of 93.8%. Procedure-related complications included five episodes of fetal bradycardia (one resulting in a stillbirth at 20 weeks) and a single case of chorioamnionitis. Of the three perinatal deaths, two were associated with severe congenital anomalies resulting in a corrected procedure-related mortality rate of 1%. The morbidity and mortality associated with cordocentesis appears to be relatively low and fellows-in-training can perform such procedures with no apparent increase in complications if appropriately supervised. |
| Databáze: | OpenAIRE |
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