Amniocentesis post-procedure care

'Amniocentesis Post-Procedure Care'

An amniocentesis is a procedure in which a sample of amniotic fluid is aspirated using a needle that is inserted into the abdomen guided by ultrasound. The sample is then tested, and can help doctors diagnose genetic disorders, birth defects, or other fetal health problems. The procedure, while largely safe, still poses risks and complications, and thus requires post-procedure care.

Amniocentesis

Immediate Post-Procedure Care

Both the patient's and the fetus' vital signs are monitored immediately following the procedure in order to ensure stability in the fetus. Usually, the patients will be monitored for about an hour following the procedure. During this time, the patient will receive education surrounding recommendations for home care post-procedure. The provider will explain signs and symptoms of complications, such as heavy bleeding, cramping, fever, or decreased fetal movement. The provider may also administer a RhoGAM injection depending on the patient's and fetus' blood types to prevent reactions to differing Rh proteins.

Home Care Post-Procedure

Common Side Effects

It is common for patients to experience mild cramping, abdominal pain, or pain at the insertion site. It is also common for patients to experience spotting or mild vaginal bleeding. Patients may feel fatigued and want to rest following the procedure.

Recommendations

Upon returning home from the procedure, it is recommended that the patient rests at home for 24 hours, avoiding strenuous activity such as exercising, running, heavy lifting, etcetera. It is also important to avoid sexual intercourse during this time. Practitioners often recommend acetaminophen, or Tylenol, to help alleviate any discomfort following the procedure. 650-1,000mg every 4 hours is standard. Do not exceed 4,000mg in 24 hours.

Mental Health

It is not uncommon for patients to experience stress and anxiety following the procedure, especially as results are pending, so it is important to practice self care during this time. It is also important to remember that you're not alone, and it may be helpful to reach out to someone who may understand what you're going through. Relying on family and friends may lighten the emotional toll this kind of test can take.

Complications and Adverse Reactions

Though cramps and bleeding can be normal, it is important to monitor these symptoms. If cramps become more severe than a menstrual cramp, if you experience heavy bleeding, leaking of amniotic fluid, or start to spike a fever, contact your doctor. These signs or symptoms can be signs of fetal stress or injury, and should be investigated.