Funipuncture for fetocide in late termination of pregnancy

Prenatal Diagnosis - Tập 22 Số 5 - Trang 354-356 - 2002
M.V. Senat1, C. Fischer2, Y. Ville1
1Department of Obstetrics and Gynecology, CHI Poissy, France
2Department of Anesthesiology, CHI Poissy, France

Tóm tắt

AbstractThe most widely used method for fetocide in late termination of pregnancy for fetal abnormalities (TOPFA) consists of injecting of potassium chloride (KCl) into the fetal heart and is likely to be painful after 22 weeks of gestation. We studied ten consecutive women undergoing TOPFA between 22 and 38 weeks. This technique for fetocide consisted of a single umbilical vein puncture under ultrasound guidance with injections of sufentanil 5 µg followed by KCl 2 g. No electrocardiographic modifications could be observed and maternal plasma potassium levels did not show any significant variation throughout the procedure. Fetal umbilical phlebotomy for fetal analgesia followed by fetocide therefore appears to be a safe procedure for the mother and allows the fetus to die without pain when late termination of pregnancy (TOP) is indicated. Copyright © 2002 John Wiley & Sons, Ltd.

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Tài liệu tham khảo

10.1093/oxfordjournals.humrep.a135965

10.1111/j.1471-0528.1999.tb08424.x

10.1056/NEJM199408043310502

Mohammed T, 1993, Mechanisms of potassium transfer across the dually perfused rat placenta, Am J Physiol, 265, 341

10.1002/cne.902710306

Royal College of Obstetricians and Gynaecologists (RCOG), 1997, Fetal Awareness

10.1016/S0301-2115(00)00441-3

10.1046/j.1469-0705.1995.05030180.x