Asepsis Techniques Prior to Amniocentesis; Which Technique is Better?

• Published in: Cam ve Sakura Medical Journal Vol. 2; no. 2; pp. 65 - 69
• Main Authors: Uzun Çilingir, Işıl, Varol, Fusun, Sütçü, Havva, İnan, Cihan, Erzincan, Selen, Sayın, Cenk
• Format: Journal Article
• Language: English
• Published: Galenos Publishing House 01.08.2022
• Subjects: amniocentesis; amniotic leakage; chlorhexidine; fetal loss; povidone iodine; vaginal discharge
• ISSN: 2791-8823; 2791-8823
• DOI: 10.4274/csmedj.galenos.2022.2022-5-2

Objective: The aim of this study was to analyze the indications of second-the trimester amniocentesis in a tertiary center and evaluate the difference between aseptic techniques before amniocentesis. Material and Methods: The study sample was drawn from the patients who had amniocentesis between 16th and 22th weeks of pregnancy at Trakya University high-risk pregnancy unit between 2015 and 2018. The patients were divided into two groups according to the antiseptic solutions, which used before the operation. Group I comprised of patients in whom 10% povidine- iodine solution was used for aseptic skin preparation. Group II consisted of patients in whom 10% povidine- iodine solution with 70% isopropyl alcohol solution was used. Results: One hundred fifty eight patients were in group I and took 10% povidine- iodine solution was used for aseptic skin preparation before the procedure and 119 (42.9%) patients were in group II and 10% povidine-iodine +2% chlorhexidine gluconate were used for skin preparation. There were no fetal loss in either group. Two patients (0.7%) in group II was admitted to the hospital in the first week after amniocentesis with increased vaginal discharge and slight abdominal pain. Conclusion: Although the lack of evidence for the superiority of any asepsis technique, a combination of aseptic solutions may be an option for the patients with a high risk of fetal loss.