Reference no: EM133820705

Question

Procedure Performed: Amniocentesis Reason for Procedure: The patient is a 32-year-old white female who is gravida 5, para 1, with intrauterine pregnancy at 36-4/7 weeks gestation. She was admitted in prodromal labor. She has gestational diabetes mellitus, and an ultrasound suggested the fetal weight was greater than 10 pounds. The patient has been quite uncomfortable in recent weeks and is adamant about wanting to be delivered. In view of the gestational diabetes requiring insulin, I feel it important to document fetal lung maturity in a more-or-less elective delivery. Description of the Procedure: Under ultrasound guidance a 4- to 5-cm pocket of amniotic fluid was identified in the fundal left side. The abdomen was prepped and draped. Under ultrasound guidance a 22-gauge needle was inserted into this pocket and approximately 8 cc of fluid was obtained, which was lightly blood stained. I attempted to aspirate more fluid using a second syringe but was unable to obtain further fluid, and so the procedure was terminated. Post procedure, the fetal heart tracing was obtained and fetal heartbeat was in the 150s. Biophysical profile post procedure was 10 out of 10. We will await the amniocentesis results. If the 1/s (lecithin/sphingomyelin) is mature,