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During 1988 there were 1029 invasive obstetrical and gynecological ultrasonically guided procedures: 788 early amniocenteses and 84 late amniocenteses, 26 chorion villi sampling, 24 by transcervical and 2 by transabdominal route, 74 fetal blood sampling (chordocenthesis) mainly for fetal karyotyping, in 9 cases the assessment of the fetal acid-base status was the main indication for the procedure. There was one patient with the increased risk of epidermolysis bulosa in whom fetal skin biopsy was performed. Prostaglandine was administered intraamnially under ultrasound control in 44 cases, in which the second trimester termination of pregnancy was indicated for medical reasons.
View Article and Find Full Text PDFUltrasonically guided direct umbilical cord blood sampling.
J Reprod Med
November 1987
Department of Obstetrics and Gynecology, University of Tennessee, Memphis.
Ultrasonically guided umbilical cord blood sampling (funicentesis) allows rapid karyotyping and diagnosis of fetal viral infections and other fetal diseases. This technique may also aid in the management of fetal disease. One of three fetuses studied had a chromosomal abnormality, trisomy 18.
View Article and Find Full Text PDFIntrauterine treatment of 4 fetuses with urethral obstruction was attempted in the third trimester of pregnancy. The fetuses displayed varying sonographic findings including pyelectasis, caliectasis, hydroureter, bladder dilatation, ascites, hydrops, missing kidneys and oligohydramnios. Ultrasonically guided aspiration from the dilated structures was carried out to relieve pressure on the kidney parenchyme and to collect fluid samples for diagnostic purposes.
View Article and Find Full Text PDFPrenatal karyotyping of twins by ultrasonically guided amniocentesis.
Am J Obstet Gynecol
December 1975
Twins were diagnosed with ultrasound in two women who had been referred because of a higher than normal risk of having malformed children. Amniocentesis was carried out under the guidance of ultrasound and amniotic fluid from both fetuses was removed for diagnostic procedures. Injection of Congo red proved that the amniocentesis needle was not re-entering the same amniotic cavity at repeated puncture.
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