Thorp JA, Helfgott AW, King EA, King AA, Minyard AN. Maternal Death After Second-Trimester Genetic Amniocentesis.
Obstet Gynecol 2005;
105:1213-5. [PMID:
15863586 DOI:
10.1097/01.aog.0000157767.83380.99]
[Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND
We report a maternal death after a second-trimester amniocentesis.
CASE
An uncomplicated amniocentesis was performed using sterile technique and ultrasound guidance. A refrigerated amniotic fluid specimen demonstrated negative leukocyte esterase activity, negative Gram stain for bacteria and white blood cells, and normal glucose and interleukin-6. The patient died from Escherichia coli sepsis and disseminated intravascular coagulation 40 hours after the amniocentesis. The autopsy showed normal- appearing needle entries into the skin and uterus without evidence of bowel adhesion or a needle track through the bowel.
CONCLUSION
Genetic counselors and obstetric care providers should be aware of potential serious maternal morbidity and mortality that may occur subsequent to uncomplicated amniocentesis.
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