Operator experience and sample quality in genetic amniocentesis

Robert A. Welch, Soha Salem-Elgharib, Anne E. Wiktor, Daniel L. Van Dyke, William B. Blessed

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective: We sought to relate the frequency of maternal cell contamination in amniotic fluid samples that were submitted to a single laboratory for cytogenetic analysis to the experience and training of the physician who performed the amniocentesis. Study design: We reviewed the database of a single cytogenetics laboratory to compare the number of amniocenteses that were performed annually per physician to the rate of maternal cell contamination in genetic amniocentesis samples. Only samples that resulted in a 46 XY male karyotype were studied so that maternal cell contamination could be identified as having occurred when the karyotype revealed ≥1 cell with 2 X chromosomes. Samples were categorized as being submitted by a physician who submitted ≥50 or more samples annually versus <50 samples to this laboratory. The frequency of maternal cell contamination was compared with annual operator volume with 2 × 2 tables and analyzed by chi-squared testing. Results: Between 2000 and 2004, the laboratory received 6332 mid-trimester amniotic fluid samples that generated a male karyotype result. Fourteen of 2081 samples (0.67%) that were submitted by physicians who submitted <50 samples grew ≥1 46 XX cells, compared with 8 of 4251 samples (0.19%; chi-squared, 9.47; degrees of freedom, 1; P = .0021). Conclusion: Maternal cell contamination occurs more frequently in genetic amniocentesis samples that are obtained by physicians who perform <50 genetic amniocenteses annually.

Original languageEnglish (US)
Pages (from-to)189-191
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume194
Issue number1
DOIs
StatePublished - Jan 2006

    Fingerprint

Keywords

  • Genetic amniocentesis
  • Maternal cell contamination

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Welch, R. A., Salem-Elgharib, S., Wiktor, A. E., Van Dyke, D. L., & Blessed, W. B. (2006). Operator experience and sample quality in genetic amniocentesis. American Journal of Obstetrics and Gynecology, 194(1), 189-191. https://doi.org/10.1016/j.ajog.2005.05.033