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Elective cytogenetic amniocentesis in the third trimester for pregnancies with high risk factors

✍ Scribed by J. Shalev; I. Meizner; D. Rabinerson; R. Mashiach; D. Peleg; R. Orvieto; T. Levi; Z. Ben-Rafael


Book ID
101235861
Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
110 KB
Volume
19
Category
Article
ISSN
0197-3851

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✦ Synopsis


The aim of the present study was to report the findings in 14 women with extremely high risk ('precious') pregnancies, 5 of whom had twins, who underwent elective third-trimester cytogenetic amniocentesis. There were no procedure-related complications, and all newborns weighed more than 2000 g and showed normal development. This practice is accepted under Israeli law and our institutional policy. This preliminary work does not attempt to answer the moral and ethical questions surrounding the use of third (versus second) trimester amniocentesis in either 'precious' or normal pregnancies. We do show, however, that the procedure is safe and may constitute a good alternative for patients who are unwilling to accept the risks of early fetal karyotyping.


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TRANSABDOMINAL CHORIONIC VILLUS SAMPLING
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Late chorionic villus sampling (placental biopsy) under ultrasound guidance was carried out in 800 (80 per cent) cases in the second trimester and 200 (20 per cent) cases in the third trimester of pregnancy. Out of 1000 placental biopsies, 250 (25 per cent) were performed because of suspicious ultra