Amniocentesis

 

Indications:

The goal is to repeat, by examining a large number of chromosomal abnormalities in the unborn child, if it shows malformation risk factors or signs making fear: nuchal thickening of the neck to ultrasonography or hCG levels too high.

With a mother aged (over 38 years with a positive test HT21) for example, it allows to perform a fetal karyotype.

Cons-indications:

A practical limitation in case of risk of spontaneous abortion and placental malabsorption.

AmniocentesisPrinciple:

20 mL sample of amniotic fluid to analyze and can be cultured amniocytes.

Technique:

Without anesthesia, outpatient examination begins with an ultrasound location of the placenta and verification of fetal vitality.

Possible from the 15th week of gestation, the puncture is transabdominal ultrasound-guided needle in.

20 ml liquid enough for the exam.

The collected amniotic fluid is cultured, and amniocytes are analyzed.

Results:

The karyotype is established by the cytogenetics laboratory within 15 to 20 days, and a map of the observed genetic abnormalities.

Incidents:

There are rare under ultrasound but may exist as:

– A white puncture bringing not liquid;

– A bloody puncture wound through the placenta;

– Especially a risk of miscarriage: 0.5 to 1% of cases.

Cost:

K15 + K10 + B120 and B1300 for additional dosage of alpha-fetoprotein.

Practical advice:

On suspicion of spina bifida (malformation family history or as Depakine mother during pregnancy) may be added a dose of alpha-fetoprotein, alkaline phosphatase and its isoenzymes for research of cystic fibrosis.

Determining the sex of the fetus is also possible for conditions related to fetal sex.

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