Feto-maternal Hemorrhage after Cordocentesis at Maharaj Nakorn Chiang Mai Hospital
Jittima Rujiwetpongstorn, MD*, Theera Tongsong, MD*, Chanane Wanapirak, MD*, Wirawit Piyamongkol, MD*, Supatra Sirichotiyakul, MD*, Pharuhas Chanprapaph, MD*, Fuanglada Tongprasert, MD*
Affiliation : * Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai
Objective : To evaluate the incidence and volume of feto-maternal hemorrhage following cordocentesis.
Study
Design : Descriptive study.
Materials and Methods : One hundred and sixteen asymptomatic non-anemic pregnant women with an indica-
tion for cordocentesis at 18-22 weeks of gestation between January and June 2004 were recruited. Maternal
blood samples were obtained immediately before and 30 minutes after cordocentesis. Fetal cells in the
maternal blood were counted using Kleihauer Betke test. About 25,000 maternal cells per slide were scanned
by the same examiner. Feto-maternal hemorrhage was considered significant if the fetal bleeding was more
than 0.25 ml.
Results : There was a significant increase in fetal blood volume in maternal circulation after cordocentesis
(Paired Student’s t test, p < 0.001). A significant hemorrhage (> 0.25 ml) occurred in 63 from 116 women
(54.7%). Only one had marked hemorrhage of more than 5.0 ml and none had massive hemorrhage (> 15 ml).
Conclusion : Cordocentesis at 18-22 weeks of gestation can be associated with feto-maternal hemorrhage
in more than half of the cases but nearly all cases had only minimal hemorrhage and none had massive
hemorrhage.
Keywords : Cordocentesis, Feto-maternal hemorrhage, Prenatal diagnosis
