Perinatal outcomes after second trimester detection of amniotic fluid viral genome in asymptomatic patients

Jena L. Miller, Christopher Harman, Carl Weiner, Ahmet A. Baschat

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Symptomatic fetal viral infection can affect placental and fetal development and may lead to non-immune hydrops or fetal death. All infections are not detectable by clinical history or ultrasound and a background positivity rate exists in asymptomatic patients. We investigated if intraamniotic presence of viral genome at the time of genetic amniocentesis in asypmtomatic patients affects perinatal outcome. Study design: Six-hundred and eighty-six pregnancies referred for second trimester genetic amniocentesis with a normal ultrasound and fetal karyotype had amniotic fluid multiplex polymerase chain reaction for adeno-, cytomegalo-, Ebstein-Barr-, entero- and parvovirus. Forty asymptomatic patients that were positive for viral genome were matched 2:1 with negative controls. Perinatal outcomes were compared between these groups. Results: Pregnancy complications and perinatal outcomes were similar in the two groups. Conclusion: Asymptomatic fetal viral infection at the time of second trimester amniocentesis does not increase the risk for adverse perinatal outcome.

Original languageEnglish (US)
Pages (from-to)140-143
Number of pages4
JournalJournal of Perinatal Medicine
Volume37
Issue number2
DOIs
StatePublished - Mar 1 2009
Externally publishedYes

Keywords

  • Amniocentesis
  • Polymerase chain reaction
  • Pregnancy outcome
  • Second trimester
  • Viral infection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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