Document Detail


Training in cordocentesis: the first 50 case experience with and without a cordocentesis training model.
MedLine Citation:
PMID:  20440735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the outcomes of the first 50 cordocenteses at mid-gestation performed by operators who either or not received training on an in vitro model earlier. MATERIALS AND METHODS: Our unit keeps a prospective database on procedure details and outcomes of cordocenteses. We compared 50 consecutive procedures, from the first one onwards, performed by 5 specialists early in their maternal fetal medicine (MFM) practice, either systematically trained (study group) or not (control group) on an in vitro cordocentesis training model (n = 500 procedures). This training was introduced at the time point MFM became a formal subspeciality in Thailand. Multiple pregnancies and fetuses with chromosomal or structural abnormalities were excluded. The main outcome measures included mean duration of the procedure, the success and fetal loss rate. RESULTS: The average duration in the control group was significantly longer than that in the study group (13.2 vs 6.4 min, p < 0.001). Conversely, the success rate was significantly lower (94.8 vs 98.8%, p = 0.011). There were no differences in fetal loss rate. CONCLUSION: Systematic training on a cordocentesis model reduces the time required to successfully obtain a fetal cord blood sample.
Authors:
Fuanglada Tongprasert; Chanane Wanapirak; Supatra Sirichotiyakul; Wirawit Piyamongkol; Theera Tongsong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  30     ISSN:  1097-0223     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  467-70     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Clinical Competence*
Cordocentesis*
Education, Medical, Continuing / methods*
Female
Humans
Models, Anatomic*
Obstetrics / education*
Pregnancy
Thailand

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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