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The role of cephalocentesis in modern obstetrics
S T Chasen1, F A Chervenak, L B McCullough
1Department of Obstetrics and Gynecology, New York Presbyterian Hospital-Weill Medical College of Cornell University, New York, NY, USA.
American Journal of Obstetrics and Gynecology
|September 25, 2001
Abstract
Objective:
Destructive procedures to permit vaginal delivery of the fetus with hydrocephalus are rarely performed.
Study Design:
We performed intrapartum cephalocentesis in 3 cases in which alobar holoprosencephaly was diagnosed in the third trimester.
Results:
All 3 fetuses were stillborn. Two delivered vaginally, and one delivered abdominally with a lower uterine incision.
Conclusions:
A reappraisal of the proper role of cephalocentesis in modern obstetrics is offered.