2. tAmniocenksis
Amniocendesis
Amniolic Yuid es. A Meica
P r o c e d u v e e
b pe nada qenele desting o
chvom0Soma
|dknomoli9Hes Selal ndechonS
as
well
a s 1or se
Acevminotion to olotainoSorrple of
ommiohc
Pluid
t ron o
regnont
worman. A Jonq
seile
ncedle
s in
trom O
she
ie
needle
s
in-
Serted
througk
+he
abdomind
a l
into 1he
onmmofic
a l b d o m i n a l
all
into he
amíoic
SoCH
obton
the lid
Amniolic
fluid he
subsBance
hat ens toe
o m n í o t e
substance
a s ns
e
omnio t c
SoC and
S u r r o u a l S
h e developirg fefus
cotainsS Etal
cOUs
thout
con be use Ha qeutic
tesh
developirg fetus
c o t a i n s
kal
testi
used toY q e u c
AmnfocenBesis Te-formed oY
This
rocess is
T e e m c
to look|
of
defects
SeCause am
fo eevtoin tpe
io
c e n t e s P r e s e n t s
a
Smal
1sk 6
both
motuev
Small
1'sk oy
both modhe
Ond
hey baby,
The
Phenatal
+est
The
Penatal
est
9eneralu
Omel
offeps b coornen
who
kove
a Signiffcau
e l
have
a signkicau e
cwno
those who
for 4euetic
d i s r o s e s
, includna those uho-
hor
3. irav
n
dercmal
ul+raSound
er abro
ultraSound or abroinmal
a Scr een
a v e a
omly 'story
Cortain bit
derecs.
Certain btn
Phay
e revisusly
had a ckld
or req
rovcyy
w a t t
dd
a ch ld
o r req ranc
d on abno na
qeneic tesresul in
camen ieqraiCy
A m n i o c e n f s s i s
oas rotdeect- at
brrdu dek c s ,
b u t con
be
used to
d e e c -
t&e
lollosiq
con
i kry
d e e c t
4 e
follouwiq
con i kany
n e
paeuts ho ve a
siqnitrcou
qenefe
GK
D c o n S y n d r o m e
sckle
c e t !
a n
d i s a s e
c y
s i c b r o s i s
MUSCula dtqp
isease
Tay-
Scachs sed
Hocedure
Amnigcentes's
foutinely
Terned as au cutpalient4
Trtedave eeY t h withant he use of a Jocal
au outfalien
Cnacshefe:
4. mov
vements of the telus ltcasion DF
l o c e r t a ,
and
.0Hrosonoqraph 3 used b Jacate the Positfon c
ChaotockevsHcs ot ue amooHe fluid in
t e ukrus.
With te cxd o ultYoeund quidonce,a Jo7.
shile
the uteYUS a on awgle hrough e
musc
e,
necdle s inseykd rough h e
a d o m i n a !
wo
e
then thfoug
h e ukruS cd inaly nto
ammiohC ICHA) Sac.
he physicion
then
puntures.
ue
s o c
in a
area auoy
om
the
fetus
dud
Ettoct appvox-
poX-
The dmd 6tock
area
mo-ely
2omd o
d m n f o e
l u i d . L i s
Yaeduve
sivale needleaud
Con be
perioed
ith a sivale
needleaud
Can
daible n e e dle
techniqve.
Thesé
technaues
kove
hec ey oe
ferenred
e i c n
v o o t i a t i o n s
in
hecs fhey e
ferfalnred
includivg quidarce ot nedle nserion locafon,
Od owq le etneedle
inse,Fon.
Frons e 20md o amnfohc Pluid, t elrstnd
ypial4 dfscasded due tomixture
ith malkna
with althal
blood cetts o ensare kidn qualty Huid Sampli
.Fetal cells cote Seporaled ronn he amnio ic
flud cid ploced n a culture waiom Ladsim
ulates the o qrouo ad drude, hev xel
5. ae'ne d order a iozope te chreo
omes ance Eromired for aboommal?he
After e roceduve, He Puncture sea t
amnotic sac eplenishe2 tue lqud over
the nex+ 2uu8 hYSs
Medlcal uses
Gneneec dagnosiz
Eayin gnoncy,
omniocenfess s used o
sed tor
o nd otaresal
dioghosis
of
chronmasora
a d
o j t a r e t a
1oblenns Such os
Douon &4ndrame (Tysomy )
a tau Syn drom e (Tisomy 1)
eduwands syndvon Tvisomy 13)
Sex eteynigata)
chramosoe aneuplodi
'Neural tube dekets
Rave uekabolic disotders
Rave
Dnfechon
w w
TsPoceiss
Can dekec fnfecHons
Via
decregsed alucos e level, a iautin
youiog ba.thtyio, or
abnorwal d?Heren?ial
6a stcio
couh o WRcs.
6. .vrg wou
on edc
talno
octorny
wlichis
inVersey
cowelattd t rta
sk ofiPon vep
Totor
y dRresS
loble,odud"
Syndrome
Severa
c t s ovoiloble,inCluding t e -
vaoL/s vo o):
hechln
-sphingomy
el?n
vaHo
h e
e s u l s l e s s
tuon 2:1 u e fetax
surfac tou d e k c i e n t
19.s
s y
be
s u f a c
t a u t
d e f r c i e u t
The
presente
o4
P :
T n d i c o t
fetal (und
Tndicote fetal luna
The
sunfottot/alburin vatfo sla vadeo): khe
Te
resul fs gen ogw
of surtae taut m o
1oin.An sl4 va/o
3 S
i n d i c a s
mare
'sinternedak,
ELSS
u
nes
3r
s S is
i n t e r n n e d i o ,
£ 2 s s
unes
Sur
lackot Pro duton.
i
weuto re
suv
4
aecompression
o+ lyydramnas
Pelyhydramn os the accumulasor amniuhc
Pud Con be Yelated va decompvession anni
o
oce tes's. Amnioceutes's relleved via daampcn
c n
amniocenkei's.
7. Ph
NOm pal
T Ocegs
npatiitq o CondiKan ohen tuedttuey
frcon
con
be Used to drognas aAh
sRh-velood gtue fetus as Ahtveblal
uotY Ah immunoqlokulin 2 to treed
dection s importau to rats ue
her bo or haemby+ovemio
Riss
mniocenBesis is Pereimed Letoeen t e
O
IS week f preqrorcy, e fosm
eseo ler nay vesulin tal
20 th
Teer Catlyamocentesis" Sre
se of proeLS
fweg
u i e t o
describe e of pro(esS
between weelas SI3
(onplication oamnioceutes intlude prelt
labordeliuevy, tespiratory dühes Posh
Icl defo/wi4o3 chorto a nnfonitieg b
fatva amni ohe in Pecton Pedatroumo
amd allormmunfSadion o htsus deat
8. woBhey.
Amnfolc c flud Smboli'sm of
OUt Conne. Add?{Yoral sa fnclude omiote
lufd lea oge an dblee dfvg -Trcse tuod I e
AFE o also besn descbt d as ps
pu tfculggn Fnpor
tance
becouse u
ledd o Spon taneo
abDfo fn preqroh
Patfedt
h e -rs amniotC slew cUs bamk
aclve n tosfon
fn u e
Massochusetg.
6