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Single or double needle insertion in twin's amniocentesis: Does the technique influence the risk of complications?

Abstract

OBJECTIVE

To compare complication rates following amniocentesis in twin gestations, according to sampling technique and number of needle insertions.

STUDY DESIGN

A retrospective cohort study of all women with twin gestations who underwent amniocentesis and delivered in a single university affiliated medical center during 2002-2016. Amniocentesis was performed either through one uterine entry with passage through the inter-twin membrane or through two different entries to the two amniotic sacs. Pregnancy outcome of women that underwent single needle insertion amniocentesis, was compared to this of double needle insertion. Primary outcome was neonatal complications within 4 weeks after amniocentesis (late abortion, chorioamnionitis, preterm premature rupture of membranes, or hospitalization due to related symptoms). Secondary outcomes were gestational week at delivery and labor characteristics.

RESULTS

The study group comprised 212 women. Of them, 73 (34.4%) underwent a single uterine insertion and 139 (65.6%) two separate needle insertions. Baseline characteristics did not differ between the groups. The amniocentesis complication rate was 13.7% in the single insertion group and 16.5% in the double insertion group (p = 0.587). Multivariate analysis found that a single insertion method had no statistically significant influence on complication rate, after making adjustments for potential confounders (OR = 1.085, 95% CI 0.4-2.9; p = 0.871). Other labor characteristics were similar between the groups.

CONCLUSION

Needle insertion technique in twin gestation amniocentesis was not associated with procedure related complications.

Authors+Show Affiliations

Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.Helen Schneider Hospital for Women, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31403133

Citation

Krispin, E, et al. "Single or Double Needle Insertion in Twin's Amniocentesis: Does the Technique Influence the Risk of Complications?" European Journal of Obstetrics & Gynecology and Reproductive Biology: X, vol. 3, 2019, p. 100051.
Krispin E, Wertheimer A, Trigerman S, et al. Single or double needle insertion in twin's amniocentesis: Does the technique influence the risk of complications? Eur J Obstet Gynecol Reprod Biol X. 2019;3:100051.
Krispin, E., Wertheimer, A., Trigerman, S., Ben-Haroush, A., Meizner, I., Wiznitzer, A., & Bardin, R. (2019). Single or double needle insertion in twin's amniocentesis: Does the technique influence the risk of complications? European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 3, p. 100051. doi:10.1016/j.eurox.2019.100051.
Krispin E, et al. Single or Double Needle Insertion in Twin's Amniocentesis: Does the Technique Influence the Risk of Complications. Eur J Obstet Gynecol Reprod Biol X. 2019;3:100051. PubMed PMID: 31403133.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single or double needle insertion in twin's amniocentesis: Does the technique influence the risk of complications? AU - Krispin,E, AU - Wertheimer,A, AU - Trigerman,S, AU - Ben-Haroush,A, AU - Meizner,I, AU - Wiznitzer,A, AU - Bardin,R, Y1 - 2019/05/15/ PY - 2019/01/13/received PY - 2019/04/30/revised PY - 2019/05/14/accepted PY - 2019/8/13/entrez PY - 2019/8/14/pubmed PY - 2019/8/14/medline KW - Abortion KW - Amniocentesis KW - Needle insertion KW - Twin pregnancy SP - 100051 EP - 100051 JF - European journal of obstetrics & gynecology and reproductive biology: X JO - Eur J Obstet Gynecol Reprod Biol X VL - 3 N2 - OBJECTIVE: To compare complication rates following amniocentesis in twin gestations, according to sampling technique and number of needle insertions. STUDY DESIGN: A retrospective cohort study of all women with twin gestations who underwent amniocentesis and delivered in a single university affiliated medical center during 2002-2016. Amniocentesis was performed either through one uterine entry with passage through the inter-twin membrane or through two different entries to the two amniotic sacs. Pregnancy outcome of women that underwent single needle insertion amniocentesis, was compared to this of double needle insertion. Primary outcome was neonatal complications within 4 weeks after amniocentesis (late abortion, chorioamnionitis, preterm premature rupture of membranes, or hospitalization due to related symptoms). Secondary outcomes were gestational week at delivery and labor characteristics. RESULTS: The study group comprised 212 women. Of them, 73 (34.4%) underwent a single uterine insertion and 139 (65.6%) two separate needle insertions. Baseline characteristics did not differ between the groups. The amniocentesis complication rate was 13.7% in the single insertion group and 16.5% in the double insertion group (p = 0.587). Multivariate analysis found that a single insertion method had no statistically significant influence on complication rate, after making adjustments for potential confounders (OR = 1.085, 95% CI 0.4-2.9; p = 0.871). Other labor characteristics were similar between the groups. CONCLUSION: Needle insertion technique in twin gestation amniocentesis was not associated with procedure related complications. SN - 2590-1613 UR - https://www.unboundmedicine.com/medline/citation/31403133/Single_or_double_needle_insertion_in_twin's_amniocentesis:_Does_the_technique_influence_the_risk_of_complications L2 - https://linkinghub.elsevier.com/retrieve/pii/S2590-1613(19)30086-9 DB - PRIME DP - Unbound Medicine ER -