Document Detail


Single-operator comparison of early and mid-second-trimester amniocentesis.
MedLine Citation:
PMID:  1579318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We sought to determine whether early amniocentesis is a safe and acceptable method of genetic evaluation in early pregnancy. During the 54-month period from September 1986 to February 1991, 300 consecutive early second-trimester amniocenteses were performed transabdominally at 13-14 weeks' gestation and 567 consecutive mid-second-trimester transabdominal amniocenteses were performed at 16-18 weeks. Group assignment was nonrandomized, interoperator-dependent variables were eliminated, and analysis was performed in one cytogenetics laboratory. The median maternal age and indications for the procedure were similar in both groups. There were no significant differences between the early- and mid-second-trimester amniocenteses in failed sampling, ambiguous results, pregnancy loss from 4 weeks after the procedure to 28 weeks' gestation, preterm birth, or perinatal death rate. Pregnancy loss within 4 weeks of amniocentesis was more frequent in early- than in mid-second-trimester amniocenteses. We conclude that early amniocentesis is a safe and acceptable method of genetic evaluation.
Authors:
B G Assel; S M Lewis; L H Dickerman; V M Park; M N Jassani
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  79     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-06-08     Completed Date:  1992-06-08     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  940-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Reproductive Biology, University MacDonald Womens Hospital, Case Western Reserve University, Cleveland, Ohio.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amniocentesis / adverse effects,  standards*
Chromosome Aberrations / diagnosis*
Chromosome Disorders
Culture Techniques
Female
Fetal Death
Genetic Testing
Humans
Karyotyping
Pregnancy
Pregnancy Trimester, First
Pregnancy Trimester, Second

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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