Asepsis Techniques Prior to Amniocentesis; Which Technique is Better?
Işıl Uzun Çilingir1, Fusun Varol2, Havva Sütçü2, Cihan İnan2, Selen Erzincan2, Cenk Sayın21Haliç University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey2Trakya University Faculty of Medicine, Department of Perinatology, Edirne, Turkey
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.
Manuscript Language: English
