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Biomedical subjects

C H Rodeck

Publications and source records attributed to C H Rodeck.

At least 181 records · Page 10Linked to original sources
PubMed1988

Changes in fetal acid base status during intravascular transfusion.

Umbilical venous pH, PCO2, PO2, and base excess was measured immediately before and after 72 intravascular transfusions in 34 fetuses with erythroblastosis fetalis. In 67 uncomplicated transfusions, infused adult blood led to a mean (95% confidence intervals) fall in pH (0.037, CI 0.029 to 0.044) and base excess (2.03, CI 1.61 to 2.45) and a mean rise in PCO2 (0.24 kPa, CI 0.13 to 0.35). These changes correlated significantly with the increase in fetal haemoglobin and packed cell volume. Five transfusions were associated with complications within six hours: intrauterine death in two, fetal-distress necessitating delivery in two, and preterm labour in one. Two had pre-existing acidosis, whereas two of the three with normal blood gas and acid base measurements before transfusion had acute changes that were outside the normal ranges that had been established in uncomplicated transfusions.

Acid-Base Equilibrium↗
PubMed1987

Prenatal diagnosis of alpha-1-antitrypsin deficiency by fetal blood sampling.

Fetal blood sampling for the diagnosis of alpha-1-antitrypsin deficiency using protein isoelectric focusing was carried out in the period 1980-1985. The results of 25 cases from 18 mothers are reported. All had a previous history of a PiZ child affected by liver disease. The method was found to be technically satisfactory and the fetal results were subsequently confirmed in all 18 cases where follow-up was possible. The fetus was found to be PiZ in nine cases and all these pregnancies were terminated. Of the remaining pregnancies three cases aborted or were delivered prematurely and 13 proceeded to term without complications.

Adult↗
PubMed1987

Prenatal diagnosis of the fragile X syndrome using fetal blood and amniotic fluid.

Nineteen pregnancies at risk for the Martin-Bell syndrome have been monitored during the second trimester for the presence of the fragile Xq27. Of the 19 potential carrier mothers, 14 showed the presence of the fragile X in their lymphocytes at a level of 4 per cent or above. As one was a twin pregnancy, fetal blood was obtained at fetoscopy from 20 fetuses and amniotic fluid obtained simultaneously from 19 of them. Of the 20 fetuses, 18 were males (including both of the twins) and two were females. Of these 18 males, seven were found to carry the fragile Xq27 in lymphocytes and subsequently six of the seven were terminated. The diagnosis was confirmed in five of the six terminated fetuses (the sixth case was a patient whose pregnancy was terminated abroad) and also in a full-term male baby. Five of the seven males without the marker X who came to term had their karyotypes confirmed post natally. Of the two female fetuses one was found to be a carrier of the fragile X and the other was not. Both babies had full-term deliveries and both had their karyotypes confirmed post natally. In some cases the diagnosis made in fetal lymphocytes was confirmed later in amniocytes.

Adult↗
PubMed1987

First trimester diagnosis of adenosine deaminase deficiency.

Adenosine deaminase deficiency has been detected in the first trimester by direct analysis of enzyme activity in chorionic villi in a pregnancy at risk. Data for purine nucleoside phosphorylase activity in chorionic villi from healthy controls in the first trimester are also presented and should allow equally rapid diagnosis of this disorder.

Adenosine Deaminase↗
PubMed1987

The inheritance of a Macaca fascicularis red cell antigen detected by CAMPATH-1 antibody.

CAMPATH-1 monoclonal antibody is reactive with human lymphocytes and monocytes and it has been shown to bind to antigens on the red cells of a number of primate species, including Macaca fascicularis. Our study within a closed colony of breeding M. fascicularis monkeys has confirmed this finding, and shown that the antibody identified a single red cell antigen inherited in Mendelian fashion as a dominant character. We have, further, confirmed that the antigen is present on blood lymphocytes, even in animals whose red cells are negative. This CAMPATH-1 antigen can therefore serve as a useful red cell marker in experiments involving bone marrow transplantation or blood transfusion.

Animals↗
PubMed1987

Measurement of human fetoplacental blood volume in erythroblastosis fetalis.

The fetoplacental blood volume of the human fetus was measured with the change in hematocrit at the time of intravascular transfusion for severe erythroblastosis. A total of 121 measurements were made between 18 and 31 weeks' gestation. The volume ranged from 117 ml/kg at 18 weeks to 93.1 ml/kg at 31 weeks. These values compare closely with those reported for the sheep fetus and, when they are extrapolated to term, are similar to the blood volume of human newborns plus the residual placental blood volume.

Blood Transfusion, Intrauterine↗
PubMed1987

Fetal blood sampling.

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Blood Specimen Collection↗
PubMed1987

Rapid prenatal diagnosis of epidermolysis bullosa letalis using GB3 monoclonal antibody.

The prenatal diagnosis of epidermolysis bullosa letalis was made by demonstrating a marked reduction of normal immunofluorescence staining with the monoclonal antibody GB3 in a fetal skin biopsy obtained at 18 weeks' gestation. The diagnosis was confirmed by conventional electron microscopy using established techniques. The affected pregnancy continued to term and a baby was delivered who rapidly developed blistering affecting the buttocks, lower limbs and mouth. This technique is simpler and quicker than electron microscopy, yet appears to retain the same degree of accuracy.

Adult↗
PubMed1987

Amniotic fluid and fetal tissues are not heated by obstetric ultrasound scanning.

Amniotic fluid temperature in first trimester pregnancies and fetal subcutaneous tissue and amniotic fluid temperature in second trimester pregnancies, measured by a thermocouple probe, did not increase during sector, linear-array or Doppler ultrasound scanning. The mean fetal muscle temperature was higher (36.9 degrees C) than mean amniotic fluid temperature (36.6 degrees C) during the second trimester.

Amniotic Fluid↗
PubMed1987

Effect of anaemia on fetal acid-base status.

In 79 pregnancies with erythroblastosis fetalis, fetal blood was sampled to assess the level of anaemia. Significant correlations were found between the haemoglobin concentration and umbilical artery pH, bicarbonate concentration and base excess. Compensatory mechanisms help to maintain oxygen supply in anaemia but their failure is associated with hydrops fetalis.

Acid-Base Equilibrium↗
PubMed1987

Relationship between maternal and fetal corticotrophin-releasing hormone-41 and ACTH levels in human mid-trimester pregnancy.

Samples of maternal blood, amniotic fluid and umbilical arterial and venous blood were collected from 11 women at 16-24 weeks of pregnancy. Corticotrophin-releasing hormone-41 (CRH-41) and ACTH were measured by immunoradiometric assay. The mean levels of ACTH were 11 pmol/l in maternal plasma, 12 pmol/l in fetal plasma and 9.7 pmol/l in amniotic fluid. The mean levels of CRH-41 were 1.6 pmol/l in maternal plasma and 0.7 pmol/l in fetal plasma. There was a positive correlation between maternal and fetal plasma CRH-41 and between maternal CRH-41 and ACTH. In fetal plasma there was a weak inverse correlation between CRH-41 and ACTH. This is the first demonstration of CRH-41 in the circulation of the mid-trimester human fetus, but on the basis of the present findings it is not possible to specify the exact source (fetal, placental or maternal).

Adrenocorticotropic Hormone↗