Retrospective Evaluation of Amniocentesis Cases
Ayhan Coşkun, Deniz Cemgil Arıkan, Gürkan Kıran, Melih Güven, Bülent Köstü, Serdar Ceylaner
Abstract
Ayhan Coşkun, Deniz Cemgil Arıkan, Gürkan Kıran, Melih Güven, Bülent Köstü, Serdar Ceylaner
Abstract
OBJECTIVE: The aim of this study is to evaluate retrospectively the indications, karyotype results and complications of amniocentesis that we performed in our clinic. STUDY DESIGN: Between January 2005 and May 2008 at the Department of Obstetrics and Gynecology Clinic of Kahramanmaras Sutcu Imam University, 340 amniocentesis procedure were performed. RESULTS: The biggest amniocentesis indication group, with 47% (160 in 340), was high risk at triple test followed by the advanced maternal age with 25% (86 in 340 ). Chromosomal abnormality was found in 15 (4,4%) of 340 cases after the result of karyotype analyses. Chromosomal abnormality was determined in 3 of the 160 patient (1,8%) with high risk at triple test, 3 of the 86 patient (3,5%) with advanced maternal age, 1 of the 29 patient (3,4%) with high risk at double test, 6 of the 41 patient (14,5%) with abnormal ultrasound findings, 2 of the 7 patient (28,6%) with increased NT thickness. Six cases (1,7%) had vaginal bleeding in the week following amniocentesis and 3 of these (0,9%) ended in abortion. CONCLUSION: Although it might lead to serious complications including fetal loss, amniocentesis is the most commonly and easily performed, and reliable invasive test for prenatal diagnosis of genetic disease.
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OBJECTIVE: The aim of this study is to evaluate retrospectively the indications, karyotype results and complications of amniocentesis that we performed in our clinic. STUDY DESIGN: Between January 2005 and May 2008 at the Department of Obstetrics and Gynecology Clinic of Kahramanmaras Sutcu Imam University, 340 amniocentesis procedure were performed. RESULTS: The biggest amniocentesis indication group, with 47% (160 in 340), was high risk at triple test followed by the advanced maternal age with 25% (86 in 340 ). Chromosomal abnormality was found in 15 (4,4%) of 340 cases after the result of karyotype analyses. Chromosomal abnormality was determined in 3 of the 160 patient (1,8%) with high risk at triple test, 3 of the 86 patient (3,5%) with advanced maternal age, 1 of the 29 patient (3,4%) with high risk at double test, 6 of the 41 patient (14,5%) with abnormal ultrasound findings, 2 of the 7 patient (28,6%) with increased NT thickness. Six cases (1,7%) had vaginal bleeding in the week following amniocentesis and 3 of these (0,9%) ended in abortion. CONCLUSION: Although it might lead to serious complications including fetal loss, amniocentesis is the most commonly and easily performed, and reliable invasive test for prenatal diagnosis of genetic disease.
Key concepts: Amniocentesis, Medicine, Triple test, Obstetrics, Advanced maternal age, Obstetrics and gynaecology, Abnormality, Abortion