By Sanjay Datta
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Extra resources for Anesthetic and obstetric management of high-risk pregnancy
The fluid can also be used, for example, to assess fetal lung maturity. Amniocentesis for culturing cells is most commonly performed at midtrimester (16–18 weeks gestation). The most commonly cited risks are as follows8,9: • Preterm premature rupture of membranes (and possible resultant fetal loss) • Infection • Fetal trauma Another risk involves bleeding into the placenta and into the amnionic sac. Any perforation of the placenta can lead to transfer of fetal blood to the mother and cause maternal isoimmunization.
21. 22. and molecular diagnoses using chorionic villi: high accuracy in the US Collaborative Study. Prenatal Diagn 1992;12:357–372. Isada NB, Paar DP, Johnson MP, et al. In utero diagnosis of congenital varicella zoster virus infection by chorionic villus sampling and polymerase chain reaction. Am J Obstet Gynecol 1991;165:1727–1730. Copel JA, Cullen MT, Grannum PA, Hobbins JC. Invasive fetal assessment in the antepartum period. Obstet Gynecol Clin N Am 1990;17:201–221. Daffos F, Forestier F, Capella-Pavlosky M.
3. Bristow J, Rudolph AM, Istkovitz J. Hepatic oxygen and glucose metabolism in the fetal lamb. J Clin Invest 1983;71:1047–1061. 4. Rudolph AM, Heymann MA. Circulatory changes during growth in the fetal lamb. Circ Res 1970;26:289–299. 5. Peeters LL, Sheldon RE, Jones MD Jr, et al. Blood flow to fetal organs as a function of arterial oxygen content. Am J Obstet Gynecol 1979;135:637. 6. Peeters LL, Sheldon RE, Jones MD Jr, et al. Redistribution of cardiac output and oxygen delivery in the hypoxic fetal lamb.
Anesthetic and obstetric management of high-risk pregnancy by Sanjay Datta