Document Detail

Hematologic evaluation of growth retarded fetus by cordocentesis.
MedLine Citation:
PMID:  2197358     Owner:  NLM     Status:  MEDLINE    
Fetal blood sampling by ultrasound-guided cordocentesis was performed in 22 IUGR fetuses in order to evaluate the fetal condition. All patients were referred to our hospital for further examination and management. In addition to hematological assessment we measured the velocity profiles of the umbilical artery with pulse-gated Doppler equipment. On the whole, pH and pO2 in the umbilical vein of IUGR fetuses were significantly lower and pCO2 higher, respectively, the corresponding values in controls. In particular, IUGR fetuses which had an etiology of maternal pre-eclampsia had fallen into hypoxemia. However, other laboratory values in IUGR did not differ from those of the controls except for the platelet count, which was low in the IUGR fetuses. Five fetuses with chromosomal abnormalities were found by analyzing the fetal blood. Since there are different etiologies inducing IUGR, fetus and umbilical artery velocimetry is not always predictive of the state of the IUGR fetus, hematological assessment is considered indispensable for further management.
K Okamura; S Tanigawara; Y Shintaku; T Watanabe; H Endo; M Iwamoto; J Murotsuki; A Yajima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nihon Sanka Fujinka Gakkai zasshi     Volume:  42     ISSN:  0300-9165     ISO Abbreviation:  Nippon Sanka Fujinka Gakkai Zasshi     Publication Date:  1990 May 
Date Detail:
Created Date:  1990-08-27     Completed Date:  1990-08-27     Revised Date:  2011-07-29    
Medline Journal Info:
Nlm Unique ID:  7505749     Medline TA:  Nihon Sanka Fujinka Gakkai Zasshi     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  485-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai.
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MeSH Terms
Blood Chemical Analysis
Blood Flow Velocity
Fetal Blood / analysis*
Fetal Growth Retardation / blood*,  physiopathology
Fetal Monitoring / methods
Umbilical Arteries / physiopathology
Umbilical Cord

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