Maternal morbidity following routine second trimester genetic amniocentesis.
Two cases of septic complications of routine second trimester amniocentesis are presented. The first case is a 37-year-old gravida suffering from ulcerative colitis who was admitted for amniocentesis in the 18th week of her third pregnancy. An uncomplicated transabdominal amniocentesis was performed using a sterile technique and ultrasound guidance. Twenty-eight hours later the patient had a septic abortion and sepsis. The second case is a 34-year-old gravida in the 24th week of her pregnancy who was admitted with amnionitis 10 h after an uncomplicated amniocentesis, and subsequently had a septic abortion. A high index of suspicion and rapid intervention were crucial in both cases.
Erez
Y
Y
Department of Obstetrics and Gynecology, Hadassah Medical Center, Ein-Kerem, Jerusalem. erezyair@gmail.com
Ben-Shushan
A
A
Elchalal
U
U
Ben-Meir
A
A
Rojansky
N
N
D000031:Abortion, Septic / Q000209:etiology; D000328:Adult; D000649:Amniocentesis / Q000009:adverse effects*; D004927:Escherichia coli Infections / Q000209:etiology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000209:etiology*; D011262:Pregnancy Trimester, Second; D018805:Sepsis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology; D013212:Staphylococcus epidermidis