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Umbilical cord hematoma following diagnostic funipuncture
E Chénard1, A Bastide, W D Fraser
1Department of Obstetrics and Gynecology, Saint-François d'Assise Hospital, Québec, Canada.
Obstetrics and Gynecology
|November 1, 1990
Summary
Diagnostic umbilical cord sampling (funipuncture) can lead to rare but severe complications. This case highlights increased risks in fetuses with malformations, emphasizing the need for careful management planning.
Area of Science:
- Perinatology
- Fetal Medicine
- Diagnostic Procedures
Background:
- Umbilical cord sampling (funipuncture) is a diagnostic tool used in fetal medicine.
- While generally safe, serious complications, though rare, have been documented.
- The risk-benefit profile may be influenced by fetal characteristics.
Observation:
- A diagnostic funipuncture was performed on a 29-week gestation fetus.
- The fetus presented with a single umbilical artery and multiple congenital malformations.
- Immediate post-procedure complications included a large umbilical hematoma and severe fetal bradycardia.
Findings:
- Fetal demise occurred within five minutes of needle insertion.
- The rapid onset of complications suggests a potential link to the fetal malformations.
- This case underscores the potential for increased risk in specific fetal conditions.
Implications:
- The risk of funipuncture complications may be condition-dependent.
- Fetal malformations might increase the likelihood of adverse events.
- Pre-procedure counseling on management plans for potential mishaps is crucial for informed consent.