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The influence of ultrasound on the frequency of amniocentesis

✍ Scribed by Andrew M. Fried; Diana Gray

Publisher
John Wiley and Sons
Year
1978
Tongue
English
Weight
148 KB
Volume
6
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

To determine the effect of development of ultrasonographic guidance techniques on the frequency of amniocentesis, we compared two two‐year periods before and after the use of ultrasound. Statistically significant decreases in both the number of amniocenteses ordered and the number performed were observed. We concluded that ultrasound has been judiciously used and has not prompted an increased use of amniocentesis merely because of improved ease and safety. A slight decrease in the perinatal mortality rate mitigates against any compromise in the standard of antenatal care.

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A prospective study of 460 midtrimester amniocenteses performed with ultrasonic guidance was made to determine the problems that occur during amniocentesis and the causes of dry or bloody taps. In 27 instances the needle was seen piercing the fetus. Thickening of the uterine wall, tenting of the mem