LACERATION OF UMBILICAL-CORD VESSELS SECONDARY TO AMNIOCENTESIS

  • 1 January 1976
    • journal article
    • research article
    • Vol. 48  (5) , 627-630
Abstract
A serious and potentially fatal complication during amniocentesis is laceration of the umbilical cord vessels. This complication is illustrated in 3 cases and a scheme is proposed for management when bloody fluid is obtained at the time of amniocentesis. If the bleeding is of fetal origin and the fetus is at or near term, immediate delivery should be considered. Expectant management should be considered only in the premature fetus when continuous fetal heart rate monitoring is possible and no bradycardia is encountered. Induction and vaginal delivery should be attempted only in the absence of a bradycardia and if the patient can be continuously monitored. Postamniocentesis fetal bradycardia should prompt immediate delivery via cesarean section regardless of gestational age. Any newborn whose uterine existence was complicated by a traumatic or bloody tap should have an immediate hematocrit determination.

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