Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 4 , Pages 405-409, December 2007

Evaluation of the Results of Cordocentesis

  • Ali Acar

      Affiliations

    • Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey
    • ,
  • Osman Balci

      Affiliations

    • Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey
    • Corresponding Author InformationCorrespondence to: Dr Osman Balci, Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Akyokus, 42080 Konya, Turkey
    • ,
  • Kazim Gezginc

      Affiliations

    • Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey
    • ,
  • Celal Onder

      Affiliations

    • Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey
    • ,
  • Metin Capar

      Affiliations

    • Department of Obstetrics and Gynecology, Selcuk University, Konya, Turkey
    • ,
  • Aysegul Zamani

      Affiliations

    • Department of Genetics, Meram Medicine Faculty, Selcuk University, Konya, Turkey
    • ,
  • Aynur Acar

      Affiliations

    • Department of Genetics, Meram Medicine Faculty, Selcuk University, Konya, Turkey

Accepted 1 June 2007.

Article Outline

SUMMARY 

Objective

To evaluate the results of cordocentesis carried out in our clinic at Meram Medicine Faculty of Selcuk University in Konya, Turkey.

Materials and Methods

Cytogenetic results and complication data were obtained by cordocentesis from 250 pregnancies performed in our clinic.

Results

Adequate amount of cord blood was taken 98% of the time, the successful culture rate was 92.8%, and none of the 18 cases in which no proliferation was detected in the culture accepted a new intervention. Cordocentesis was performed in 14 cases (5.6%), because no results were obtained from amniocentesis carried out for various indications. According to cytogenetic evaluation, chromosomal abnormality was detected in 12 cases (5.17%), including four cases of trisomy 21, four cases of trisomy 18, one case of trisomy 13, one case of triploidy (69,XXX) and two cases of chromosomal inversion. Of the 250 cordocentesis cases, there were 12 (4.8%) cases of fetal loss, including four cases of rupture of membranes, four cases of abdominal pain and vaginal bleeding and four cases of a spontaneous abortus. In 53 (21.2%) cases, cordocentesis was performed because of hydrops fetalis; and of the total 12 losses, six were in this group. The fetal loss rate was 11.32% in the hydrops fetalis group.

Conclusion

If cordocentesis is carried out by highly skilled physicians and optimal culture conditions are available, cordocentesis is an invasive prenatal diagnostic and therapeutic procedure that is performed secondary to amniocentesis with high accuracy and safety. In cases of hydrops fetalis in which cordocentesis is carried out, fetal loss is more likely to occur.

Key Words:  cordocentesis , fetal abnormality , hydrops fetalis

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PII: S1028-4559(08)60011-X

doi:10.1016/S1028-4559(08)60011-X

Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 4 , Pages 405-409, December 2007

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