Document Detail

Therapeutic amniocentesis using a vacuum bottle aspiration system.
MedLine Citation:
PMID:  9464739     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Therapeutic amniocentesis has been performed traditionally by gravitational drainage or syringe aspiration. We describe a technique for relatively rapid, large-volume therapeutic amniocentesis using a negative-pressure vacuum bottle aspiration system. TECHNIQUE: The procedure involves insertion of a 20-gauge spinal needle into the amniotic cavity followed by connection to a 1-L vacuum bottle via noncollapsible tubing. EXPERIENCE: During a 5-year period, 86 therapeutic amniocenteses were performed on 26 women. The amniotic fluid removal rate was 89 mL/minute. There were three instances of transient preterm labor, three cases of ruptured membranes within a week of the procedure, and no cases of abruption, chorioamnionitis, or fetal distress. CONCLUSION: The vacuum bottle aspiration technique for therapeutic amniocentesis permits expeditious removal of large volumes of amniotic fluid safely and effectively.
M B Dolinger; A E Donnenfeld
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  91     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-26     Completed Date:  1998-02-26     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  143-4     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia 19107, USA.
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MeSH Terms
Amniocentesis / adverse effects,  methods*
Pregnancy Complications / therapy*
Suction / methods*

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