Amniocentesis
Introduction
Amniocentesis (also called as amniotic fluid test or AFT) is a medical
procedure used in prenatal diagnosis of chromosomal abnormalities, fetal
infections, sex-determination, birth defects and lung maturity. It is usually
done between 14th and 16th week of pregnancy. However, it may be used in
the third trimester of pregnancy to check fetal lung maturity and Rh
disease. In this process a small amount of amniotic fluid is sampled from
the amniotic sac.
Note: Amniotic sac contains amniotic fluid which,
Protects the fetus from injury
Protects against infection
Allows the baby to move and develop properly
Helps control the temperature of the fetus
Procedure
Local anesthetic is given to the mother in order to relieve pain felt during
the insertion of the needle.
A needle is inserted through the abdominal wall, then through the wall of
the uterus, and finally into the amniotic sac.
With the aid of ultrasound guidance an expert punctures the amniotic sac
away from the fetus and extract approximately 20ml. Of amniotic fluid.
Fetal cells are grown in a suitable culture medium and examined under
microscope for genetic diagnosis.
Rest of the fluid is used for biochemical diagnosis.
Reasons for Amniocentesis
If the mother age is 35 or older.
Family history or previous child with a genetic disease or metabolic
disorder.
Risk of neural tube defect such as spina bifida.
Abnormal maternal screening tests, such as maternal alpha fetoprotein
level (AFP).
Risk of sex-linked genetic diseases.
Risk of an Amniocentesis
Fetal trauma.
Bleeding or leaking of amniotic fluid.
Infection.
Preterm labor.
Miscarriage.
Socio-psychological consequences.