Submitted by : Uzma

AMNIOCENTESIS_ Consent advice no 6_RCOG.May 2006

1. Name of the procedure______.

2. Intended benefits to provide the woman with information______.

3. Women who are obese must be made aware that______________&____

4. Serious risks include

a) failure but an experienced operator is likely to obtain success at the 1st attempt in __% of procedures.

b) An experienced operator is likely to obtain blood-stained samples in approximately_____% of procedures.

c) miscarriage rate ____% over the norm. Should be quoted during counseling.

d) _&_____are rare, serious risks.

e) ___ temporary or prolonged has, an added risk of_________delivery.

f) Chorioamnionitis or severe sepsis is likely to be less than __ procedures.

5. Frequent risk includes_______.

6. Procedure to be carried out or supervised by an ___.

7. It is carried out after ____ weeks, if gestation confirmed by US.

8. It involves the passage of a _ or _ gauge needle through the abdomen under direct US guidance.

9. Involves aspiration of ____ ml of amniotic fluid.

10. Counselling before procedure include ___&_________&_______.

11. _____ should be offered following procedure to all women who are rhesus negative in line with national recommendations.

12. A record should be made of the information given to woman prior to procedure which should include_______, ___&_______. Also information about______&_______

13. The woman should be made aware of any form of______ used.


Answers to Consent on amniocentesis.

1. Amniocentesis.

2. Regarding the karyotype of fetus (es)

3. In obese, procedure may be technically difficult & could lead to increased rate of complications.

4.a) 94% success rate.

b) 0.8% blood stained samples.

c) miscarriage rate_ 1% over the norm.

d) fetal injury & maternal bowel injury are rare serious risks.

e) Amniotic fluid leakage & preterm delivery.

f) severe sepsis likely to be less than 1/1000procedures.

5. Mild discomfort at the needle insertion site is the frequent risk.

6.Operator deemed experienced by national standards.

7.After 15 weeks of gestation.

8.20_ 22 gauge needle.

9.aspiration of 10_15ml amniotic fluid.

10.Pretest counselling of

_ any local variation

_ risk of miscarriage

_consequences of not performing.

11. Anti D immunoglobulin as rhesus prophylaxis.

12.Record made of information given to woman prior to procedure_

_Method of communicating results,

_ reporting time.

_ indications for seeking medical advice after the test.

_ storage n disposal of the sample.

13. Local Anaesthesia.