Amniocentesis - Accuracy, Benefits & more Details

Amniocentesis - Accuracy, Benefits & more Details

Edited By Irshad Anwar | Updated on Oct 11, 2024 03:48 PM IST

Amniocentesis is one of the prenatal diagnostic processes which can affect the overall health of developing fetuses. This procedure involves the extraction of fluid from the uterus during pregnancy. All the tests are conducted on that fluid and some of the important insights are given into the fetus's genetic makeup and overall health. Amniocentesis is one of the most important topics of the biology class 12th. The chapter carries a weightage of 7% of the total marks in NEET and 4 - 3% of the weightage of other entrance exams like Paramedical and Pharmacy.

What Is Amniocentesis?

Amniocentesis is the procedure of withdrawing amniotic fluid from the womb of an expectant mother for testing. This fluid contains cells of the fetus's skin and other materials that can provide important information about the health conditions of the fetus. Some major points about Amniocentesis are mentioned below:

  • Helps in detecting chromosomal abnormalities such as Down syndrome and other genetic disorders.

  • Also helps to detect neural tube defects such as spina bifida which is a condition where the spinal cord does not perform properly.

  • Certain infections are also detected using Amniocentesis.

  • If the mother is RH negative or the fetus RH positive it also helps in determining whether the fetus is developing a disease called hemolytic disease.

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Indications For Amniocentesis

The details are given below:

Indications

Explanation

Genetic testing

Amniocentesis is used for testing and detecting chromosomal abnormalities such as Down syndrome.

Infection testing

Used to identify if there is any acquired infection developing inside the foetus.

Fetal Lung Maturity Assessment

This is usually performed when there is suspicion of Preterm birth and accessories required for lung maturity by measuring the surface levels.

The Procedure of Amniocentesis

The of Amniocentesis involves:

Preparation

  • An ultrasound is conducted before the test and marks the position of the fetus and the position of the placenta.

Fluid Extraction

  • A thin needle guided by an ultrasound is inserted through the abdominal wall into the uterus to withdraw amniotic fluid.

Recovery

  • The patient is observed after the test for any complications, and the result usually takes a week or two.

Risks and Considerations of Amniocentesis

The risks involved in Amniocentesis can be :

Miscarriage

  • Miscarriage The risk of miscarriage is about 1 in 300 to 1 in 500 procedures. However, the experience of the doctor plays a very vital role in this entire procedure.

Infection

  • There is a slight risk of infecting the mother during the procedure. This can be due to unsterilised instruments used to perform the procedure.

Amniotic Fluid Leakage

  • This occurs in about 1% of the cases but often clears on its own.

Types of Questions Asked from Amniocentesis

During the preparation of the exam, there are different types of questions asked about Aminocentesis in different forms. The table given below contains the different patterns of questions asked in different exams.

Exam Type

Types of Questions Asked

Weightage

CBSE

  • Procedure of amniocentesis.

  • Indications for amniocentesis (genetic testing, infection testing, lung maturity).

  • Risks and benefits of amniocentesis.

2%

NEET

  • Mechanism of amniocentesis.

  • Chromosomal disorders detected by amniocentesis (e.g., Down syndrome).

  • Ethical issues surrounding prenatal diagnosis like amniocentesis.

4%

Paramedical

  • Clinical applications of amniocentesis in genetic counselling.

  • Role of amniocentesis in diagnosing fetal infections.

  • Complications associated with the procedure.

3%


Tips, Tricks, and Strategies for Amniocentesis

It takes effort to remember everything in a single go. We made the entire problem easy. Some of the tricks regarding Aminocentesis are given below which you can use to memorise the important points.

Indications for Amniocentesis

"GIFT: Genetic, Infection, Fetal lungs, Testing"

  • G: Genetic testing (for chromosomal abnormalities like Down syndrome)

  • I: Infection testing (detect fetal infections like cytomegalovirus)

  • F: Fetal lung maturity (assess lung maturity in preterm birth cases)

  • T: Testing for Rh incompatibility and other fetal health issues

Procedure of Amniocentesis

"USAN: Ultrasound, Sample, Amniotic, Needle"

  • U: Ultrasound is used to guide the procedure

  • S: Sample of amniotic fluid is drawn

  • A: Amniotic fluid contains fetal cells and chemicals for testing

  • N: Needle is inserted carefully through the abdomen

Risks of Amniocentesis

"MILF: Miscarriage, Infection, Leakage, Fetal injury"

  • M: Miscarriage (small risk, about 1 in 300 to 1 in 500)

  • I: Infection from the needle puncture

  • L: Leakage of amniotic fluid

  • F: Fetal injury or damage (rare)

Conditions Detected by Amniocentesis

"DDT: Down, Duchenne, Tay-Sachs"

  • D: Down syndrome

  • D: Duchenne muscular dystrophy

  • T: Tay-Sachs disease

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Frequently Asked Questions (FAQs)

1. What are some of the indications and instructions that are given for the amniocentesis?

Generally, there is no hard and fast rule for performing amniocentesis. One can eat and drink as a daily routine, but sometimes it is advised not to go to the toilet before amniocentesis. The reason is that a full bladder is good for amniocentesis.

2. What is one more name that is given to amniocentesis?

Amniocentesis is also known as chorionic villus sampling. This test is performed to check for genetic disorders in the baby.

3. What is the guidance for the size of the needle in amniocentesis?

The standard size of needle that is used to perform amniocentesis is 20 to 22 G.

4. What is the duration of amniocentesis?

The needle is first passed into the amniotic cell that is surrounding the foetus, and a small sample of amniotic fluid is now taken for further analysis. This test usually takes only 10 minutes, but the result may take up to 2 days.

5. Does amniocentesis give appropriate results?

Yes, amniocentesis usually gives 100% results, but sometimes only some of the disorders are detected.

6. what is Amniocentesis?

The extraction of ammoniacal fluid from the body is known as Amniocentesis.

7. What does an Amniocentesis test?

The amniocentesis test is used for identifying any chromosomal disorders or infections.

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Correct Answer: determination of foetal health conditions


Solution : The correct option is - determination of foetal health conditions

In an amniocentesis, which is a prenatal diagnostic technique, a tiny portion of the amniotic fluid around the fetus is removed and examined for chromosomal abnormalities.

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