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.
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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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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 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.
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.
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 |
| 2% | |
| 4% | |
Paramedical |
| 3% |
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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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.
Amniocentesis is also known as chorionic villus sampling. This test is performed to check for genetic disorders in the baby.
The standard size of needle that is used to perform amniocentesis is 20 to 22 G.
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.
Yes, amniocentesis usually gives 100% results, but sometimes only some of the disorders are detected.
The extraction of ammoniacal fluid from the body is known as Amniocentesis.
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.