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Overview

Amniocentesis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The fetus is surrounded by amniotic fluid during pregnancy, which is a substance much like water. Amniotic fluid is known to carry live fetal cells among other substances present, such as alpha-fetoprotein (AFP). These substances provide significant information about the health of your baby before birth. Amniocentesis can be defines as a prenatal test associated with the removal of a small amount of amniotic fluid from the sac which surrounds the fetus for the purpose of testing.

You might need amniocentesis for the main and most common reason of abnormal prenatal screening. This test helps your doctor in confirming or denying any kind of abnormalities which may have been found during the test. In case you already have had a child with a serious abnormality of the spinal cord (neural tube defect) or brain, or birth defect, this procedure helps by checking and making sure whether your child has the previous mentioned condition. In case you are older than 35 years, your baby is possibly at a higher risk for a chromosomal abnormality called Down syndrome. Amniocentesis diagnoses these abnormalities. In case you or your sexual partner is a carrier of a genetic disorder, like cystic fibrosis, amniocentesis will detect beforehand whether your unborn child suffers with this disorder or not.

How is the treatment done?

A sample of the fluid (less than an ounce) is removed by inserting a fine, long and thin needle into the uterus through the stomach. While the baby is in the womb, this fluid surrounds and protects it. This process takes place under the guidance of an ultrasound in order to find out the exact location of the baby in the uterus. An ultrasound is characterized as a non invasive procedure associated with the usage of high frequency sound waves which creates an image of your unborn baby. The amniotic fluid is sent to the laboratory for further analysis by a laboratory technician thereafter. There are a number of different tests which can be performed on the sample of amniotic fluid. These tests include genetic disorders such as cystic fibrosis, spina bifida, and Down syndrome. This factor depends on the indications and the genetic risk for the test. You won’t be requiring a stay in the hospital as this test is an outpatient procedure.

The test result will help confirm whether to continue with the pregnancy or not. The test result will also let you know whether or not the baby is matured enough to be born. This test is also helpful in determining whether or not you need to deliver early in order to negate any kind of complications.

Who is eligible for the treatment? (When is the treatment done?)

Women who are 18 to 20 weeks pregnant are eligible for the test.

Who is not eligible for the treatment?

Women before 20th week of pregnancy are not eligible for the procedure as it may harm the unborn baby, drain the amniotic fluid from the body and increase the chances of miscarriage.

Are there any side effects?

The side effects associated with amniocentesis test are a 0.6% of miscarriage rate if done during the second trimester of pregnancy, cramps, vaginal bleeding, leakage of amniotic fluid out of the body, uterine infection, and the transfer of infection to your unborn baby.

What are the post-treatment guidelines?

After the procedure of amniocentesis is over, it is best for you to go home and relax for the remaining day. Your doctor will strictly advise you to not exercise, lift anything over 20 pounds (children are included), avoid sexual relations and avoid performing any strenuous activity. You may have to take two acetaminophen (Tylenon) every 4 hours in order to relieve discomfort. After the procedure is complete, you can continue all normal activities a day after, unless directed by your doctor otherwise. Do not rush to your workplace or anywhere else which puts physical strain on you as this might harm the baby after the procedure.

How long does it take to recover?

It just takes a day to return back to normal activities after the procedure of amniocentesis is complete as it is just a test and not a treatment.

What is the price of the treatment in India?

The cost of amniocentesis ranges between Rs. 8,000 to Rs. 12,000.

Are the results of the treatment permanent?

The results of the test are permanent. In case the results of the test are normal, your baby doesn’t have a genetic or chromosomal abnormality. Normal results of amniocentesis demonstrate that your baby is likely to be born with a high rate of survival and health. If the result is negative, then it is a matter of risk for you to continue with the pregnancy as your baby may be born abnormal or with a disorder.

What are the alternatives to the treatment?

There are various alternatives to amniocenteses. These involve noninvasive prenatal test, integrated screening, first trimester combined screening, and second trimester quad screen.

Safety: Medium Effectiveness: High Timeliness: Low Relative Risk: Medium Side Effects: Medium Time For Recovery: Low Price Range:

Rs. 8,000 - Rs. 12,000

Popular Health Tips

Decrease In Amniotic Fluid - Know The Reasons Behind It!

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
Decrease In Amniotic Fluid - Know The Reasons Behind It!

Are you aware of the condition known as oligohydramnios during pregnancy, in which there is too less amniotic fluid? The amniotic fluid is an important part of your baby’s support system. It helps in protecting your baby and in the development of lungs, muscles, limbs, and the digestive system. The amount of this fluid can be measured via several methods. amniotic fluid index (AFI) evaluation is commonly used for measurement. When the results show a fluid level less than five centimeters, you need to diagnose yourself for oligohydramnios.

Causes
There are several causes, which may lead to low amniotic fluid levels in your body. They are as follows:

  1. Birth defectsIssues in proper development of the urinary tract or the kidneys lead to decreased urine production, which in turn results in decreased amniotic fluid levels.
  2. Placental problems: When your placenta does not provide sufficient supply of blood and nutrients to the baby, it may not recycle the fluid anymore.
  3. Leaking of membranes: A tear in the membrane may cause a slow trickling of fluid, or a rapid gush of fluid. The premature rupture of membranes (PROM) also leads to low levels of amniotic fluid.
  4. Post date pregnancy: Low amniotic fluid levels may occur during a post date pregnancy. It is a form of pregnancy that lasts for 42 weeks.
  5. Maternal complications: Several factors like hypertension, maternal dehydration, diabetes, and chronic hypoxia may lead to decreased levels of amniotic fluid levels during pregnancy.

Treatment
The treatment for low amniotic fluid level depends on your gestational age. In case you are not full term, you will be closely monitored and your fluid levels will be observed. Non-stress and contraction stress tests may be conducted for monitoring the activities of your baby. If you are almost near full term, delivery is recommended by most health practitioners, in case of low amniotic fluid levels.

Other treatment methods that are used include the following:

  1. Amino infusion during labor via an intrauterine catheter is carried out. The added fluids help with the umbilical cord padding during delivery. It also helps in lowering the chances of a Cesarean delivery.
  2. The injection of amniotic fluid before delivery via amniocentesis is also undertaken. It is likely for the oligohydramnios to reoccur within one week after this treatment procedure, but it helps doctors to visualize your fetal anatomy and diagnose the condition.

Maternal rehydration using oral fluids and IV fluids also helps in increasing the amniotic fluid levels. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

1898 people found this helpful

Amniocentesis: Its Importance And Why You Should Opt For It!

DGO, MBBS, FOGSI
Gynaecologist, Ahmedabad
Amniocentesis: Its Importance And Why You Should Opt For It!

With the advancements in medical science and technology, detecting abnormalities in fetus has become possible, which is indeed a boon for soon-to-be parents. During pregnancy, the fetus develops in an environment surrounded by a water-based fluid called the amniotic fluid. This fluid contains some substances such as live fetal cells and nutrients.

A medical analysis of this fluid can reveal valuable information regarding the health of the baby. This prenatal test is called amniocentesis. This process entails a trained medical professional inserting a needle into the uterus through the belly. The action allows the needle to collect a minimal amount of the amniotic fluid. In case you are wondering, whether the process is ideal for you or not, continue reading this article.

Who can benefit from this test?
Amniocentesis is ideal for women that already have a child with congenital disabilities such as Spina bifida or Down’s syndrome. The test can also be applied to women that are of 37 years or above in age and face risks of pregnancy complications. Apart from this, amniocentesis can be performed for other reasons. For instance, when the parents wish to know if their baby is with any metabolism or genetic abnormalities.

Are there any complications involved?
Amniocentesis is mostly a safe medical test, and the risk of any complications associated with it remain little. However, it is true that specific risks persist. For example, undergoing amniocentesis may cause a miscarriage or leakage of the amniotic fluid or an infection of the amniotic fluid. However, one must remember that these risks are infrequent and mostly depend on the health conditions of the patient.

What are the benefits?
Amniocentesis has some benefits to offer. This procedure is widely used in determining the presence of any genetic disorders or abnormalities. It is also used for fetal lung testing. This test also helps doctors to diagnose any fetal infections or any other illness. Sometimes, when too much of the amniotic fluid is accumulated during pregnancy, this test is performed to drain the excess liquid from the uterus.

Why should one opt for it?
This test is capable of identifying hundreds of genetic disorders. Therefore, mothers that stand at high risk of delivering babies with genetic abnormalities can benefit from this test. Also, this test is extremely helpful in finding whether the lungs of the baby have grown enough or the baby may require medical assistance after birth. Further, amniocentesis becomes a significant test when the delivery is performed on an emergency basis.
The test results can ensure that a baby does not have any chromosomal or genetic abnormalities. Abnormal results may mean that that the baby has a severe congenital deficiency or a genetic problem. No matter the outcome, women are advised to consult with their gynecologists. The doctors can guide the patients regarding the next best health practices and available treatments. In case you have a concern or query you can always consult an expert & get answers to your questions!

2369 people found this helpful

Know The Reasons Behind Decrease In Amniotic Fluid!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Know The Reasons Behind Decrease In Amniotic Fluid!

Are you aware of the condition known as oligohydramnios during pregnancy, in which there is too less amniotic fluid? The amniotic fluid is an important part of your baby’s support system. It helps in protecting your baby and in the development of lungs, muscles, limbs, and the digestive system. The amount of this fluid can be measured via several methods. amniotic fluid index (AFI) evaluation is commonly used for measurement. When the results show a fluid level less than five centimeters, you need to diagnose yourself for oligohydramnios.

Causes
There are several causes, which may lead to low amniotic fluid levels in your body. They are as follows:

  1. Birth defectsIssues in proper development of the urinary tract or the kidneys lead to decreased urine production, which in turn results in decreased amniotic fluid levels.
  2. Placental problems: When your placenta does not provide sufficient supply of blood and nutrients to the baby, it may not recycle the fluid anymore.
  3. Leaking of membranes: A tear in the membrane may cause a slow trickling of fluid, or a rapid gush of fluid. The premature rupture of membranes (PROM) also leads to low levels of amniotic fluid.
  4. Post date pregnancy: Low amniotic fluid levels may occur during a post date pregnancy. It is a form of pregnancy that lasts for 42 weeks.
  5. Maternal complications: Several factors like hypertension, maternal dehydration, diabetes, and chronic hypoxia may lead to decreased levels of amniotic fluid levels during pregnancy.

Treatment
The treatment for low amniotic fluid level depends on your gestational age. In case you are not full term, you will be closely monitored and your fluid levels will be observed. Non-stress and contraction stress tests may be conducted for monitoring the activities of your baby. If you are almost near full term, delivery is recommended by most health practitioners, in case of low amniotic fluid levels.

Other treatment methods that are used include the following:

  1. Amino infusion during labor via an intrauterine catheter is carried out. The added fluids help with the umbilical cord padding during delivery. It also helps in lowering the chances of a Cesarean delivery.
  2. The injection of amniotic fluid before delivery via amniocentesis is also undertaken. It is likely for the oligohydramnios to reoccur within one week after this treatment procedure, but it helps doctors to visualize your fetal anatomy and diagnose the condition.

Maternal rehydration using oral fluids and IV fluids also helps in increasing the amniotic fluid levels. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

Decrease In Amniotic Fluid - What Are The Reasons Behind It?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Decrease In Amniotic Fluid - What Are The Reasons Behind It?

Are you aware of the condition known as oligohydramnios during pregnancy, in which there is too less amniotic fluid? The amniotic fluid is an important part of your baby’s support system. It helps in protecting your baby and in the development of lungs, muscles, limbs, and the digestive system. The amount of this fluid can be measured via several methods. amniotic fluid index (AFI) evaluation is commonly used for measurement. When the results show a fluid level less than five centimeters, you need to diagnose yourself for oligohydramnios.

Causes
There are several causes, which may lead to low amniotic fluid levels in your body. They are as follows:

  1. Birth defectsIssues in proper development of the urinary tract or the kidneys lead to decreased urine production, which in turn results in decreased amniotic fluid levels.
  2. Placental problems: When your placenta does not provide sufficient supply of blood and nutrients to the baby, it may not recycle the fluid anymore.
  3. Leaking of membranes: A tear in the membrane may cause a slow trickling of fluid, or a rapid gush of fluid. The premature rupture of membranes (PROM) also leads to low levels of amniotic fluid.
  4. Post date pregnancy: Low amniotic fluid levels may occur during a post date pregnancy. It is a form of pregnancy that lasts for 42 weeks.
  5. Maternal complications: Several factors like hypertension, maternal dehydration, diabetes, and chronic hypoxia may lead to decreased levels of amniotic fluid levels during pregnancy.

Treatment
The treatment for low amniotic fluid level depends on your gestational age. In case you are not full term, you will be closely monitored and your fluid levels will be observed. Non-stress and contraction stress tests may be conducted for monitoring the activities of your baby. If you are almost near full term, delivery is recommended by most health practitioners, in case of low amniotic fluid levels.

Other treatment methods that are used include the following:

  1. Amino infusion during labor via an intrauterine catheter is carried out. The added fluids help with the umbilical cord padding during delivery. It also helps in lowering the chances of a Cesarean delivery.
  2. The injection of amniotic fluid before delivery via amniocentesis is also undertaken. It is likely for the oligohydramnios to reoccur within one week after this treatment procedure, but it helps doctors to visualize your fetal anatomy and diagnose the condition.

Maternal rehydration using oral fluids and IV fluids also helps in increasing the amniotic fluid levels. It is important for you to consult a doctor for proper diagnosis so that the most ideal treatment can be prescribed to you.

4694 people found this helpful

Popular Questions & Answers

I'm 15 weeks pregnant. Double marker test revealed that t21 is less than 50: 1. Everybody is suggesting to go for amniocentesis. But is it safe? When should it be done? I contacted a diagnostic centre and they said it should be done on 16th week. But others are saying after 20 weeks. We are concerned about the risk factors. What type of risk does it posses?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi you should do amniocentesis before 20weeks of gestation. It is safe to do amniocentesis provided that it is done in by safe and trained hands.
1 person found this helpful

My wife is 15 weeks pregnant. Double marker test revealed that t21 is less than 50: 1. We are very anxious. Should we directly go for amniocentesis or there are some other way to be confirmed about down's syndrome?

DNB (Obstetrics and Gynecology), DGO, MBBS, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine
Gynaecologist, Hyderabad
Hello lybrate user I understood your concern and my opinion is that yes you should directly go for amniocentesis if trisomy 21 risk is 1 in 50, there are other non invasive prenatal diagnostic tests available but they are not confirmatory, I hope my answers help you thanks.
1 person found this helpful

My wife 3 months pregnant. Double marker test revealed that t21 is 50: 1. Is it dangerous? Doctor advised to go through a amniocentesis with FISH study? Is the test safe? Is there any other way of diagnosis for down syndrome?

MRCOG ( UK) , MS - Obstetrics and Gynaecology
Gynaecologist, Kolkata
Hi lybrate-user the risk of down's syndrome in your case is significant. The next step to confirm whether your child has down's syndrome or not is aminocentesis. Although this test has some risks like miscarriage but in safe hands the risk is quite low. Around 1%. Thanks.
1 person found this helpful

My wife is pregnant of 21 weeks of gestational, recent scan reported development of nasal bone is 4.7 mms and advice for amniocentesis test. We want to know risk and complexity in this.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello, the risks of amniocentesis test are as leaking amniotic fluid, miscarriage, needle injuries, rh sensitization, uterine infections and infection transmissions.

Hi I am 19 months pregnant now. I was asked to take the TORCH test. And I got rubella positive and HSV positive in that. Results.Everything found normal in my TIFFA scan except small bowel grade 1 in abdomen. Again doctor suggested me to take amniocentesis. Please suggest me the best I'm very panic now.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
The TORCH screen is a group of blood tests that check for several different infections in a newborn. TORCH stands for toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and HIV, but it can also include other newborn infections. Sometimes the test is spelled TORCHS, where the extra "S" stands for syphilis. HSV TEST: Tests used to diagnose or screen for genital herpes include: PCR blood test: The PCR blood test can tell if you have genital herpes even if you don't have symptoms. The PCR test looks for pieces of the virus's DNA. This is the most common test used to diagnose genital herpes and is very accurate. TIFFA SCAN: TIFFA Scanning is ultrasonic visualization fetus in detail. Ultrasound is the main diagnostic tool in the prenatal detection of congenital abnormalities. SO YOU NEED NOT WORRY ABOUT YOUR FETUS. Amniocentesis test for: Amniocentesis detects chromosome abnormalities, neural tube defects, and genetic disorders. Down syndrome or Trisomy 21 is the most common chromosome abnormality. Genetic disorders include disorders such as cystic fibrosis. The most common neural tube defect is spina bifida. FOR THIS YOU NEED NOT BECOME PANIC, AND BETTER FOR YOUR CHILD HEALTH. F the results of your amniocentesis are normal, your baby most likely doesn’t have genetic or chromosomal abnormalities. In the case of maturity amniocentesis, normal test results will assure you that your baby is ready to be born with a high likelihood for survival. Abnormal results may mean that your baby has a genetic problem or serious birth defect. Discuss all test results with your doctor and your partner so that you can make an informed decision about whether or not to continue your pregnancy. This is a difficult time for parents, so seek support from your loved ones, your doctor, or a support group.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice