Fetomaternal Bleeding During Attempts at External Version

Gjøde, P; Rasmussen, Th. Bremholm; Jørgensen, J.

doi:10.1111/j.1471-0528.1980.tb05005.x

Cited by 29 publications

(7 citation statements)

References 6 publications

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“…As the risks involved in external version are low, we are of the opinion that the indications should be rather wider than has been advocated by many others. At present we are considering the inclusion of rhesus-negative women, provided they are given anti-D before version is attempted (Gjdde et al 1980).…”

Section: Discussionmentioning

confidence: 99%

A randomized trial of external cephalic version with tocolysis in late pregnancy

Brocks

Philipsen

1984

BJOG

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The effect of external version under tocolysis with intravenous ritodrine during the 37th week of gestation was studied in a prospective randomized trial comprising 130 consecutive women with a fetus in breech presentation. Version was successful in 41% of the patients, all of whom had a cephalic vaginal delivery. Of the 56 women in the control group in whom version was not attempted; 8 (14%) converted to the vertex presentation spontaneously. Failure of version was significantly correlated with primiparity, location of the placenta on the anterior uterine wall, and maternal weight. The caesarean section rate was significantly lower in the version group (27%) than in the control group (46%) (P(0.05). The overall caesarean section rate for a fetus in breech presentation was 50%. There were no serious complications associated with version and the condition of the infants at birth was better in the version group than in the control group. We advise external version under tocolysis in late pregnancy to reduce the frequency of breech presentation in labour.

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Section: Discussionmentioning

confidence: 99%

A randomized trial of external cephalic version with tocolysis in late pregnancy

Brocks

Philipsen

1984

BJOG

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“…It must, however, be kept in mind that fetomaternal bleeding may follow even an insignificant trauma (14). For instance the fetal external version shares a risk of 6 to 14% of fetomaternal leakage and Rh-immunization (27), and in most hospitals Rh-negative women receive Rh-immunoglobulin after external version. In our study population the Kleihauer-Betke test was probably underused.…”

Section: Discussionmentioning

confidence: 99%

Motor vehicle accident during the second or third trimester of pregnancy

Aitokallio-Tallberg

Halmesmäki

1997

Acta Obstet Gynecol Scand

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Objective. To evaluate the need of immediate treatment, follow-up and consequences of different types of traffic accidents during pregnancy. Method and material. A retrospective analysis covering five years involving thirty-five pregnant women involved in motor vehicle accidents at 22-39 weeks of gestation. Results. Fifteen of the 35 women were involved in frontal impact collisions, and suffered mild subjective and objective symptoms; all their fetuses survived and were delivered at term. Fifteen other women were involved in broadside collisions; two of these were riding a bicycle. These 15 women had clear objective findings like uterine contractions or tenderness, and some of them needed tocolytic therapy and hospitalization up to eight days. This was significantly longer than in those involved in frontal impact collisions. However, the broadside accidents did not have any adverse effect on pregnancy outcomes either. Five women were involved in serious accidents at speeds of 80-110 kmih, and one mother and her fetus died immediately because of rupture of the uterus and the cervical joint and spinal canal. Four other fetuses were found dead on arrival at hospital or soon after. In all cases the cause of fetal loss was placental abruption. The presence of fetal blood cells in maternal blood was evaluated in 15 of 35 patients, but was positive in only one. Conclusion. Frontal collisions are associated with lower vehicular speed, less trauma and no acute or later effects on pregnancy, whereas broadside collisions and high speed (>80kmih) cause more symptoms. The latter type of accidents are associated with high risk of placental abruption and of fetal and maternal death. Fortunately the symptoms are evident immediately after the accident, and early hospital discharge is possible if no abnormalities are present during the first hours.

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“…Récemment, des techniques d'enrichissement destinées à isoler des hématies foetales nucléées en vue d'un diagnostic prénatal ont permis d'observer un passage même minime d'érythrocytes foetaux dans 100 % des cas chez des femmes entre six et 34 SA [5]. Plus classiquement, l'utilisation du test de Kleihauer (tK) ou de la cytométrie de flux permet d'estimer qu'une HFM infé-rieure à 1 ml survient dans 1 à 28 % des grossesses [6][7][8][9][10][11] et jusqu'à 75 % environ lorsque le test est effectué en postnatal immédiat [12]. L'incidence estimée des HFM supérieures à 20 ml de sang foetal varie le plus souvent entre 0,1 à 1 % des grossesses sur des prélèvements effectués le plus souvent avant la naissance [6,13,14].…”

Section: Données éPidémiologiquesunclassified

“…Version par manoeuvre externe et HFM Plusieurs publications suggéraient un lien entre HFM et tentative de version par manoeuvre externe [7][8][9][10]31,32]. Dans une étude prospective récente portant sur 1311 patientes, Boucher et al rapportent que le tK se positive après une tentative de version par manoeuvre externe dans 2,4 % des cas [6].…”

Section: Traumatisme Maternel Et Hfmunclassified