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scan@thelondonultrasoundcentre.co.uk

Amniocentesis

16 Weeks of Pregnancy Onwards


Click on a question to take you to the answer.

What is an Amniocentesis?

Why would I need an Amniocentesis?

What is usually diagnosed from an Amniocentesis?

What additional genetic disorders can be diagnosed from an Amniocentesis?

What happens during an Amniocentesis?

When can I have an Amniocentesis?

What are the risks when having an Amniocentesis?

What are the success rates of your consultants performing the Amniocentesis?

How is the sample from an Amniocentesis analysed?

When will I receive the results of my Amniocentesis?

Do I need to make any preparation before an Amniocentesis?

Anything else I should know about the Amniocentesis?

What is my next scan after the Amniocentesis?

How do I book an Amniocentesis?

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What is an Amniocentesis?
An Amniocentesis is a medical procedure performed during pregnancy to take a small sample of fluid from your pregnancy sac.

The sample is then analysed in a laboratory to diagnose any genetic abnormalities of your unborn baby.

Because the cells in this fluid come from your baby, genetic analysis of the fluid will give the same result as if the fetus itself were examined.

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Why would I need an Amniocentesis?
An Amniocentesis is usually offered on the NHS or privately if you have received a high risk screening from your Down Syndrome Screening such as the Nuchal Scan, Integrated Test or Quadruple Test.

However you may wish to have an Amniocentesis performed for your own peace of mind.

The choice about whether to have an Amniocentesis or not is up to you.

More information on Down Syndrome Screening and diagnostic tests can be found on our About Down Syndrome Screening page.

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What is usually diagnosed from an Amniocentesis?
Using amniotic fluid obtained during an Amniocentesis the Genetics Laboratory usually test for Down Syndome, Edward's Syndrome, Patau Syndrome and a chromosomal analysis.

An Amniocentesis can also used to obtain a sample for Pre-Natal Paternity Testing.

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What additional genetic disorders can be diagnosed from an Amniocentesis?
In addition to Down Syndome, Edward's Syndrome, Patau Syndrome and a chromosomal analysis, Cystic Fibrosis can also be included (if there is a family history) at no extra cost.

Genetic testing can also be perfomed for other identifiable problems at additional cost. These supplemantary tests can be included if there is a family history or other children have been born with the condition.

A consultation with one of our Fetal Medicine Specialists or a Consultant Geneticist will be necessary before proceeding with any of the following additional tests:

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What happens during an Amniocentesis?
Before the Amniocentesis procedure you will be counselled by our Fetal Medicine Specialist and have time to ask any questions. You will also need to sign a consent form which will be fully explained to you.

During the Amniocentesis the consultant will pass a fine needle through your tummy into the amniotic fluid inside your pregnancy sac.

Although this may sound frightening to some in reality the procedure is usually very straighforward, and is performed under continuous ultrasound vision to avoid any threat to your baby.

Discomfort is minimal so no anaesthetic is required.

The doctor will then draw up a tiny amount of amniotic fluid into a syringe.

Much of the appointment time is taken up with preparation and counselling. The actual Amniocentesis procedure only takes one or two minutes to perform and is usually over before you realise it.

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When can I have an Amniocentesis?
You can have an Amniocentesis performed any time from 16 weeks gestation.

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What are the risks when having an Amniocentesis?
There is a 0.5 - 1% risk of miscarriage associated with having an Amniocentesis. This means for every 200 Amniocentesis procedures performed it is possible 1-2 patients would experience a miscarriage and 199-198 would be expected to progress normally.

Because an Amniocentesis is performed later in pregnancy when miscarriages are less likely to occur naturally the risk may be lower than if a CVS was performed in early pregnancy.

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What are the success rates of your consultants performing the Amniocentesis?
Our consultants sucessfully perform hundreds of Amniocentesis procedures every year and their audited miscarriage rates are lower than the national average of 0.5%.

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How is the sample from an Amniocentesis analysed?
The fluid sample is sent to a highly specialised Genetics Laboratory for analysis.

The sample is analysed using a process known as PCR (Polymerase Chain Reaction) to obtain a preliminary result.

The specimen is then set up in a culture for karyotyping that usually produces an identical result to the intial PCR.

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When will I receive the results of my an Amniocentesis?
Preliminary results for Down Syndome, Edward's Syndrome, Patau Syndrome and a chromosomal analysis are available in 2-3 days with the culture results following in about 2 weeks.

Results from a full analysis of other requested chromosomal anomalies can take up to 2 weeks.

Most genetic testing produces a definite answer, however in 1 of 1000 cases the results may prove inconclusive so further consultation or testing may be required. This is 10 times less likely than if a CVS were performed.

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Do I need to make any preparations before an Amniocentesis?
Yes. Before the procedure is performed we need to know your blood group. If your blood type is Rhesus Negative we will need to be give you an injection of Anti-D after the Amniocentesis has been performed.

Please bring written confirmation of your blood group to your Amniocentesis appointment. If you are unable to provide documented evidence of your blood group you will need to have a blood type test performed at additional cost.

You do not need to fast before having an Amniocentesis. 

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Anything else I should know about the Amniocentesis?
We are able to provide conclusive Gender Identification as part of the genetic testing procedure at no additional cost.

If you'd like to know the gender of your baby please tell the consultant during your appointment as gender isn't routinely reported unless requested.

Please note that we will not perform an Amniocentesis solely for the purposes of Gender Identification.  

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What is my next scan after the Amniocentesis?
Your next scan after your Amniocentesis will depend on when during the gestation you have had procedure.

Before 20 weeks your next scan will be the 20 Week Anomaly Scan.

If you have your Amniocentesis after the 20 Week Anomaly Scan you may not need any further scans.

Otherwise your Consultant or Midwife may refer you for one or more Welfare Scans, or you may choose to have a 4D Baby Scan from 24 weeks (20 weeks for twins).

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How do I book an Amniocentesis?
For bookings information and prices please see our Prices page.

The procedure is only performed by qualified Consultants on certain days so please be prepared to be flexible with your booking date.

Because of the preparation required for this procedure we usually ask for a £100 deposit to secure a CVS appointment.

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