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Risks

By Mayo Clinic staff

Amniocentesis carries various risks, including:

  • Miscarriage. Second-trimester amniocentesis carries a slight risk of miscarriage — between 1 in 300 and 1 in 500. Research suggests that the risk of miscarriage is higher for amniocentesis done before 15 weeks of pregnancy.
  • Needle injury. During amniocentesis the baby might move an arm or leg into the path of the needle. Serious needle injuries are rare.
  • Leaking amniotic fluid. Rarely, amniotic fluid leaks through the vagina after amniocentesis. If the leak seals, the pregnancy is likely to proceed normally. It's possible, however, for chronic leakage to lead to orthopedic problems for the baby.
  • Rh sensitization. Rarely, amniocentesis might cause the baby's blood cells to enter the mother's bloodstream. If you have Rh negative blood, you'll be given a drug called Rh immunoglobulin after amniocentesis to prevent you from producing antibodies against your baby's blood cells.
  • Infection. Rarely, amniocentesis might trigger a uterine infection.
  • Infection transmission. If you have an infection — such as hepatitis C, toxoplasmosis or human immunodeficiency virus — the infection might be transferred to your baby during amniocentesis.

Remember, genetic amniocentesis is typically offered when the test results might have a significant impact on management of the pregnancy. Ultimately, the decision to have genetic amniocentesis is up to you. Your health care provider or genetic counselor can help you weigh all the factors in the decision.

Maturity amniocentesis is often suggested when early delivery would be best for the mother. With minimal risks, maturity amniocentesis can offer assurance that the baby is ready for birth.

References
  1. Ghidini, A. Diagnostic amniocentesis. http://www.uptodate.com/index. Accessed Aug. 3, 2012.
  2. Eddleman K, et al. Pregnancy loss rates after midtrimester amniocentesis. Obstetrics & Gynecology. 2006;108:1067.
  3. Frequently asked questions. Pregnancy FAQ165. Screening for birth defects. American College of Obstetrics and Gynecology. http://www.acog.org/~/media/For%20Patients/faq165.pdf?dmc=1&ts=20120803T1101436205. Accessed Aug. 3, 2012.
  4. Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/content.aspx?aID=6021591. Accessed Aug. 8, 2012.
  5. Gabbe SG, et al. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2012:1.
  6. American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins - Obstetrics. ACOG Practice Bulletin No. 88: Invasive Prenatal Testing for Aneuploidy. Obstetrics and Gynecology. 2007;110:1459.
  7. Frequently asked questions. Pregnancy FAQ171. Cystic fibrosis: Prenatal screening and diagnosis. American College of Obstetrics and Gynecology. http://www.acog.org/~/media/For%20Patients/faq171.pdf?dmc=1&ts=20120801T1656571546. Accessed Aug. 1, 2012.
  8. Gillen-Goldstein J, et al. Assessment of fetal lung maturity. www.uptodate.com/index. Accessed Aug. 3, 2012.
  9. Moore KL, et al. The Developing Human: Clinically Oriented Embryology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2013:1.
  10. Gibbs RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008. http://www.danforthsobgyn.com. Accessed Aug. 8, 2012.
  11. American College of Obstetricians and Gynecologists. Your Pregnancy and Childbirth Month to Month. 5th ed. Washington, D.C.: American College of Obstetricians and Gynecologists; 2010:343.
  12. Frequently asked questions. Pregnancy FAQ027. The Rh factor: How it can affect your pregnancy. American College of Obstetrics and Gynecology. http://www.acog.org/~/media/For%20Patients/faq027.pdf?dmc=1&ts=20120809T1038350240. Accessed Aug. 9, 2012.
  13. Beckman CRB, et al. Obstetrics and Gynecology. 6th ed. Baltimore, Md.: Lippincott Williams & Wilkins; 2010:57.
  14. Fischbach FT, et al. A Manual of Laboratory and Diagnostic Tests. 8th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009:1041.
  15. Pagana KD, et al. Mosby's Manual of Diagnostic and Laboratory Tests. 4th ed. Philadelphia, Pa.: Mosby Elsevier; 2010:664.
MY00155 Oct. 10, 2012

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