Does discolored amniotic fluid at genetic amniocentesis really matter?The aim of this study was to evaluate clinical outcome of discolored dis·col·or v. dis·col·ored, dis·col·or·ing, dis·col·ors v.tr. To alter or spoil the color of; stain. v.intr. To become altered or spoiled in color. amniotic fluid in a private setting. All patients undergoing genetic amniocentesis amniocentesis (ăm'nēō'sĕntē`sĭs), diagnostic procedure in which a sample of the amniotic fluid surrounding a fetus is removed from the uterus by means of a fine needle inserted through the abdomen of the pregnant woman (see at this referral center over a 1-year period were compared by clinical course to their amniotic fluid coloration. Patients were also evaluated by age, bleeding history, intercurrent intercurrent /in·ter·cur·rent/ (-kur´ent) occurring during and modifying the course of another disease. in·ter·cur·rent adj. diseases, fetal aneuploidy aneuploidy /an·eu·ploi·dy/ (an?u-ploi´de) any deviation from an exact multiple of the haploid number of chromosomes, whether fewer or more. an·eu·ploi·dy n. and smoking usage; 348 patients underwent amniocentesis. There were no early amino losses; 16 had discolored fluid (red, brown or green). Of the 16 pregnancies, 8 had no complications and delivered at term. Of the 8 affected, there were 2 intrauterine fetal demise, 4 premature rupture of membranes Premature Rupture of Membranes Definition Premature rupture of membranes (PROM) is an event that occurs during pregnancy when the sac containing the developing baby (fetus) and the amniotic fluid bursts or develops a hole prior to the start of labor. with 3 deaths and 2 abruptions with fetal death. The fetal death rate with discolored amniotic fluid was 44%. Discolored fluid is a risk factor for clinical morbidity and strongly suggests heightened observation for the duration of the pregnancy. Robert K. Sigman, MD, and Dana Holaday, RDMS. Maternal Fetal Medicine of North Alabama, Huntsville, AL. |
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