Midtrimester amniocentesis. An analysis of 923 cases with neonatal follow-up.

Abstract:

:Maternal, fetal, and neonatal results and complications were analyzed after 923 genetic amniocenteses. Maternal age of 35 years and beyond was associated with a 2.0% risk of fetal trisomy 21 and a 3.0% risk of all major chromosome abnormalities. Comparable rates for women aged 40 and beyond were 4.8% and 7.2%. Neural tube defects were detected in 0.15% of procedures done for maternal age and 3.4% of those done for a previous involved child. The risk of spontaneous abortion as a result of amniocentesis was 0.2% to 1.4%. Mahogany or green fluid was associated with a 29% rate of fetal loss. Unexplained midtrimester elevations of maternal serum alpha-fetoprotein were associated with a 38% risk of a subsequent low-birth weight infant. The only neonatal complication associated with amniocentesis was an apparent marked increase in the incidence of lower-extremity orthopedic abnormalities.

journal_name

Am J Obstet Gynecol

authors

Cruikshank DP,Varner MW,Cruikshank JE,Grant SS,Donnelly E

subject

Has Abstract

pub_date

1983-05-15 00:00:00

pages

204-11

issue

2

eissn

0002-9378

issn

1097-6868

pii

0002-9378(83)91055-4

journal_volume

146

pub_type

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