Amniocentesis: If the future mother is Rh-negative

For Rh-negative women, the puncture should always be followed by an intravenous injection of anti-D-gamma globulin, half an hour to two hours after the examination. By pricking, one can, in fact, put in contact the cells of the mother and those of the child. The maternal cells would then recognize those of the baby as those of a foreign body and its immune system would do everything to eliminate it.

Amniocentesis, a personal choice

Although amniocentesis is often recommended from age 38 in the case of family history or according to biological or ultrasound markers, it is in no way obligatory. Before deciding whether to practice the exam, it is important for the parents to discuss it together and then with their practitioner. Indeed, amniocentesis can cause problems.

Some parents want to know everything about the risks for their baby. They may then be tempted to have amniocentesis that can cause a miscarriage, even for a healthy baby.

Conversely, some parents, whose child is at risk of chromosomal abnormality, will choose to practice the exam to be sure and be able to prepare for the birth, if they refuse a therapeutic abortion.

In any case, it is important to talk about it with the family and the doctor. The discovery of a chromosomal anomaly will inevitably raise the question of a therapeutic abortion.

Source: Patient Information Sheet. Amniocentesis, Gnof, 2002.

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> Medical termination of pregnancy (IMG)
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