Three years' experience of using a 29-gauge atraumatic needle for amniocentesis

J Perinat Med. 2012 Feb 1;40(4):413-7. doi: 10.1515/jpm-2011-0224.

Abstract

Aims: To quantify the procedure-related complication rate after using modified technique of amniocentesis with a 29-gauge (29-G) pencil-point needle.

Methods: This is a prospective, descriptive study of 316 amniocenteses that were performed by means of atraumatic 29-G pencil-point needle under ultrasound control.

Results: A total of 316 amniocenteses were observed through the postprocedural period. The median time needed to retrieve 15 mL of amniotic fluid was 4 min. A total of 19 pregnancies were terminated after genetic testing. No case was regarded as procedure-related fetal loss. No other complications were observed. Seventeen children were born before 37 completed weeks of gestation and five children had a birth weight <2000 g.

Conclusions: Amniocentesis with the 29-G atraumatic pencil-point needle seems to be a safe procedure with extremely low risk of complications and is a good alternative to the traditional 22-G Quincke needle.

MeSH terms

  • Adult
  • Amniocentesis / adverse effects*
  • Amniocentesis / instrumentation*
  • Amniocentesis / methods
  • Chromosome Aberrations
  • Female
  • Fetal Death / etiology
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Karyotyping
  • Needles*
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Twin
  • Prospective Studies
  • Ultrasonography, Prenatal