Factors influencing hemostasis after umbilical vein puncture in vitro

Judith A. Ney*, Susan C. Fee, Sharon L Dooley, Michael L Socol, John Minogue

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Bleeding from the site of cordocentesis can be detected by ultrasound examination, but significant hemorrhage into the amniotic fluid rarely occurs. To evaluate the relative contribution of amniotic fluid thromboplastins and the quantity of Wharton's jelly in facilitating coagulation at the puncture site, amniotic fluid samples and umbilical cord segments were obtained at cesarean section from 20 patients. After puncture of the umbilical vein, bleeding times were measured in amniotic fluid and 0.9% sodium chloride. The quantity of Wharton's jelly was assessed by measuring umbilical cord circumference. Mean bleeding times were significantly shorter in amniotic fluid compared with saline solution, but there was no consistent relationship between bleeding times and umbilical cord circumference. We conclude that properties of amniotic fluid facilitate coagulation at the site of umbilical vein puncture.

Original languageEnglish (US)
Pages (from-to)424-426
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume160
Issue number2
DOIs
StatePublished - Jan 1 1989

Keywords

  • amniotic fluid
  • hemostasis
  • Wharton's jelly

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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