Ivica Zalud1, Sapna Janas. 1. Department of Obstetrics/Gynecology and Women's Health, Kapiolani Medical Center for Women and Children, John A. Burns School of Medicine, University of Hawaii, 13419 Punahou Street, Honolulu, HI 96734, USA. ivica@hawaii.edu
Abstract
OBJECTIVE: To establish the risk of immediate complications from third-trimester amniocentesis. STUDY DESIGN: The entry criterion was amniocentesis done in the third trimester (28 or more weeks of gestation). The primary study outcome was any complication within 24 hours after the procedure. The secondary outcome was mode of delivery and pregnancy outcome. RESULTS: One hundred eleven patients were enrolled in this study with a known postprocedure course and pregnancy outcome. The average patient age was 29.8 years, average gravidity 2.9, average gestational age 36 weeks, average amount of amniotic fluid withdrawn 12.9 mL and average number of attempts to perform amniocentesis 1.03. The most common indication for the procedure was fetal lung maturity study and workup for chorioamnionitis. The list of complications observed within 24 hours included: regular contractions (2 patients, or 1.8%), ruptured membranes (1 patient, or 0.9%) and minimal vaginal bleeding (1 patient, or 0.9%). The overall complication rate was 3.6%. There was no perinatal or maternal morbidity directly linked to the procedure. No patients with complications needed urgent delivery. CONCLUSION: Third-trimester amniocentesis carried a complication rate of 3.6%. All complications were self-limited.
OBJECTIVE: To establish the risk of immediate complications from third-trimester amniocentesis. STUDY DESIGN: The entry criterion was amniocentesis done in the third trimester (28 or more weeks of gestation). The primary study outcome was any complication within 24 hours after the procedure. The secondary outcome was mode of delivery and pregnancy outcome. RESULTS: One hundred eleven patients were enrolled in this study with a known postprocedure course and pregnancy outcome. The average patient age was 29.8 years, average gravidity 2.9, average gestational age 36 weeks, average amount of amniotic fluid withdrawn 12.9 mL and average number of attempts to perform amniocentesis 1.03. The most common indication for the procedure was fetal lung maturity study and workup for chorioamnionitis. The list of complications observed within 24 hours included: regular contractions (2 patients, or 1.8%), ruptured membranes (1 patient, or 0.9%) and minimal vaginal bleeding (1 patient, or 0.9%). The overall complication rate was 3.6%. There was no perinatal or maternal morbidity directly linked to the procedure. No patients with complications needed urgent delivery. CONCLUSION: Third-trimester amniocentesis carried a complication rate of 3.6%. All complications were self-limited.
Authors: Montse Palacio; Elisenda Bonet-Carne; Teresa Cobo; Alvaro Perez-Moreno; Joan Sabrià; Jute Richter; Marian Kacerovsky; Bo Jacobsson; Raúl A García-Posada; Fernando Bugatto; Ramon Santisteve; Àngels Vives; Mauro Parra-Cordero; Edgar Hernandez-Andrade; José Luis Bartha; Pilar Carretero-Lucena; Kai Lit Tan; Rogelio Cruz-Martínez; Minke Burke; Suseela Vavilala; Igor Iruretagoyena; Juan Luis Delgado; Mauro Schenone; Josep Vilanova; Francesc Botet; George S H Yeo; Jon Hyett; Jan Deprest; Roberto Romero; Eduard Gratacos Journal: Am J Obstet Gynecol Date: 2017-03-23 Impact factor: 8.661
Authors: Hatice Ender Soydinc; Muhammet Erdal Sak; Osman Evliyaoglu; Mehmet Sıddık Evsen; Abdulkadir Turgut; Ali Özler; İsmail Yıldız; Talip Gul Journal: Int J Med Sci Date: 2013-08-15 Impact factor: 3.738