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Amniocentesis is a test sometimes done during pregnancy that looks for birth defects and genetic problems in the developing baby.
Culture - amniotic fluid; Culture - amniotic cells; Alpha-fetoprotein - amniocentesis
How the test is performed
Amniocentesis removes a small amount of fluid from the sac that surrounds the baby in the womb (uterus). It is usually done in a doctor's office or medical center. You do not need to stay in the hospital.
You will probably have a pregnancy ultrasound first. This helps your health care provider find out exactly where the baby is in your womb.
Numbing medicine is then rubbed onto part of your belly. Sometimes, the medicine is given through a shot in the skin on the belly area.
The health care provider inserts a long, thin needle through your belly and into the womb. A small amount of fluid (about 4 teaspoons) is removed from the sac surrounding the baby.
The fluid is sent to a laboratory, where:
Results are usually back within 2 weeks.
How to prepare for the test
Your bladder must be full for the ultrasound.
Before the test, blood may be taken to determine your blood type and Rh factor. You may get a shot of medicine called RhoGAM if you are Rh negative.
How the test will feel
Amniocentesis is most often offered to women at increased risk for bearing a child with birth defects. This includes women who:
Genetic counseling is an option prior to the procedure. This will allow you to:
This test can also be done to help:
Why the test is performed
Amniocentesis can be used to diagnose many different gene and chromosome problems in the baby, including:
It can also help:
A normal result means:
Note: Even with normal results after an amniocentesis, your baby may still have other types of birth defects.
What abnormal results mean
An abnormal result may mean your baby has:
Talk to your doctor about the meaning of your specific test results.
What the risks are
Risks are minimal, but may include:
Simpson JL, Holzgreve W, Driscoll DA. Genetic counseling and genetic screening. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2012:chap 10.
Simpson JL, Richards DA, Otao L, Driscoll DA. Prenatal genetic diagnosis. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone;2012:chap 11.
Reviewed by:A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine (9/13/2011)
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