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Cordocentesis

  • Review Article
  • Published:
Journal of Fetal Medicine

Abstract

Cordocentesis is an ultrasound-guided procedure to obtain fetal band from umbilical cord. It is indicated for rapid evaluation of fetal karyotype, fetal hematological disorders, and identification of fetal infection. Results are available in 48–72 h. If patient presents late and the results from amniocentesis would not be available within time for elective termination of pregnancy, it is the preferred procedure. Therapeutic indications include intravascular cord transfusion in Rh isoimmunization, fetal anemia, or drug administration. Procedure is performed from 18 weeks of gestation onward. Umbilical cord at placental attachment is the site of choice for puncture. We use 21–22 gauge spinal needle for this procedure. It needs expertise and is safe if performed by experienced surgeon. Single dose of antibiotic prior to procedure can be given. The rate of pregnancy loss varies and depends on the indication of procedure. Overall procedure related loss is <2 %.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, AIIMS, Ansari Nagar, New Delhi, 110029, India

    Nutan Agarwal

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  1. Nutan Agarwal
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Correspondence to Nutan Agarwal.

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Agarwal, N. Cordocentesis. J. Fetal Med. 3, 71–75 (2016). https://doi.org/10.1007/s40556-016-0083-1

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  • DOI: https://doi.org/10.1007/s40556-016-0083-1

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