Abruptio placentae after percutaneous umbilical cord sampling: a case report

Article Abstract:

Percutaneous fetal blood sampling (cordocentesis) is a method of prenatal diagnosis that involves removal of a small sample of fetal blood directly from the umbilical cord during pregnancy. The procedure is useful in obtaining cells for genetic analysis and for the transfusion of blood while the fetus remains inside the uterus. Although the procedure is apparently safe, some complications have been reported. A 30-year-old woman in her 39th week of pregnancy was found to have increased amount of amniotic fluid and hydronephrosis, a distended pelvis caused by an obstruction of the urinary structures. Since these symptoms are associated with fetal abnormalities, the woman was referred for percutaneous blood sampling, which was performed under the guidance of fetal ultrasound. During the procedure, the fetus's heart rate slowed and uterine contractions developed, necessitating a cesarean section delivery. The amniotic fluid was found to be tinged with blood. The placenta appeared to have separated from the uterus prematurely, a situation known as abruptio placentae. It is thought that the side-to-side movement of the needle, which had been inserted near the margin of the placenta, caused a tear and disrupted the placenta. This is the first reported case of abruptio placentae following percutaneous umbilical cord sampling. (Consumer Summary produced by Reliance Medical Information, Inc.)

Case studies, Abnormalities, Complications and side effects, Amniotic fluid, Abruptio placentae, Placental abruption, Cordocentesis

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The role of covering gowns in reducing rates of bacterial contamination of scrub suits

Article Abstract:

A lab coat worn over scrubs does not necessarily prevent the scrubs from becoming contaminated with bacteria, according to a study of 75 doctors. Scrubs are garments usually worn by surgeons and other operating room (OR) staff, but only in the OR. Outside the OR, all doctors and nurses are required to wear a lab coat or some other type of covering.

Offices & clinics of medical doctors, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Prevention, Physicians, Medical professions, Clothing, Microbial contamination

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The relationship of maternal position to the results of brief nonstress tests: a randomized clinical trial

Article Abstract:

If pregnant women are given a nonstress test while sitting up, the test could be done in 10 minutes rather than 20. Nonstress tests are used to analyze the fetal heart rate.

Methods, Evaluation, Fetal heart rate monitoring, Electronic fetal monitoring, Sitting position

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