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Re: US markers for fetal anemiaFrom: James S Smeltzer MD (gaperina@mindspring.com)Wed Jan 27 06:57:43 1999
Hi, Cordocentesis is not difficult. My first, in a hydropic fetus that would otherwise die, was successful on the fourth attempt and I was the third physician to try. Since then they have become much easier. However it does carry a small but definite risk for loss of about 1% or so. One of my former fellows lost a baby who kicked the needle during transfusion and bled out (Bottom line - paralyze the baby as soon as you get in for a transfusion, be ready to go, draw your initial, do the transfusion, draw the final & get out). The vena cava findings of pulsatility and reversed flow with atrial kick may precede hydrops and I would act on this - especially if the change extended into the UV. Jim S
At 07:22 PM 1/25/1999 -0600, you wrote:
>Thanks for the opinion about US markers of fetal anemia.
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