2009
DOI: 10.1515/jpm.2009.063
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Flowcytometric assessment of fetomaternal hemorrhage during external cephalic version at term

Abstract: External cephalic version (ECV) at term is a safe procedure and reduces the incidence of cesarean sections for breech presentation. One of the known complications, however, is an ECV-related disruption of the placental barrier and a subsequent transfusion of fetal blood into maternal circulation. While the incidence of ECV-related fetomaternal hemorrhage (FMH) has been determined recently in a large trial using a manual Kleihauer-Betke test (KBT), questions remain on the amount of ECV-related FMH. KBT, which d… Show more

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Cited by 9 publications
(8 citation statements)
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“…In another study examining the risk of FMH after external cephalic version at term for women with breech presentation using the FCC system, although a higher cut‐off point of 0.05% was used compared to our cut‐off value of 0.02%, three occurrences of FMH were detected among 50 women (6.0%) after external cephalic version . These three FMH women showed HbF fraction sizes of 0.06%, 0.08%, and 1.0%, respectively …”
Section: Discussionsupporting
confidence: 77%
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“…In another study examining the risk of FMH after external cephalic version at term for women with breech presentation using the FCC system, although a higher cut‐off point of 0.05% was used compared to our cut‐off value of 0.02%, three occurrences of FMH were detected among 50 women (6.0%) after external cephalic version . These three FMH women showed HbF fraction sizes of 0.06%, 0.08%, and 1.0%, respectively …”
Section: Discussionsupporting
confidence: 77%
“…Indeed, in a study examining the incidence of positive Kleihauer-Betke test results in low-risk, third-trimester, and asymptomatic women, as many as five of 98 (5.1%) had a positive test result, indicating FMH of 5 mL and 40 mL in four and one cases, respectively. 16 In another study examining the risk of FMH after external cephalic version at term for women with breech presentation using the FCC system, 17 although a higher cut-off point of 0.05% was used compared to our cutoff value of 0.02%, three occurrences of FMH were detected among 50 women (6.0%) after external cephalic version. 17 These three FMH women showed HbF fraction sizes of 0.06%, 0.08%, and 1.0%, respectively.…”
Section: Discussionmentioning
confidence: 84%
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“…The information available examines only feto-maternal contamination, which was estimated in an average of 0.1042 ml in CVS [16] and of 0.061 ml in cordocentesis [20] . Feto-maternal blood hemorrhage has also been described after external cephalic version [21,22] . The risk in fetal surgery has not been assessed.…”
Section: Transmission Risk Of Blood-borne Viruses During Invasive Promentioning
confidence: 99%