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Percutaneous umbilical blood sampling (PUBS) or fetal blood sampling is a procedure indicated in certain high-risk situations.
A small sample of fetal blood is withdrawn through a slender needle passed through the woman's abdomen into the baby's umbilical cord. Although the procedure is similar to an amniocentesis for the woman, it requires a high-level of expertise by those performing and assisting in the procedure. It is available in a limited number of high-risk pregnancy centers. PUBS is generally performed after the 18th week in pregnancy. The timing depends on the reason the test is being done. A brief period of observation and special preparation may be suggested for procedures done after the 24th week of pregnancy.
The risk to the pregnancy are greater than for other prenatal procedures, therefore, PUBS is reserved for those pregnancies in which the information required about the fetus (fetal blood type, fetal anemia, infection, etc.) cannot be obtained accurately, completely, and/or in sufficient time to benefit pregnancy management by other prenatal diagnostic procedures.