assessment of five year experience in amniocentesis in Qatar

The purpose of this study is to evaluate the risk of foetal loss attributable to amniocentesis and to assess the experience in technique, successful fluid aspiration in amniocentesis performed in our hospital. Medical record of 123 women who underwent amniocentesis between September 1996 till March 2002 were reviewed for indication, maternal, age, nationality, maternal age, parity, nationality, gestational age at procedure, physician operator, amniotic fluid reports and pregnancy outcome. Within 30 days of amniocentesis there were tow [2.2%] foetal lossess, 91 patients [74%] for genetic amniocentesis, 32 patients [26%] Rh. Isoimmnunization, 4 cases [3.2%] no fluid aspiration and in 10 patients proce-dure repeated one week later for successful aspiration. Amniocentesis-related total pregnancy loss rate was 2.2%. Successful aspiration of clear amniotic fluid increases with amniocentesis experience

Urinary tract injuries during gaesarean section

A retrospective review of obstetric urinary tract injury in Hamad Medical Corporation [HMC] from January 1994 to December 2004 identified 16 cases from 21,337 Caesarean Sections. Diagnosis of bladder injury was immediate but of uretric injury was often delayed. Although the injury rates are lower than previously reported in the literature, Q.0016%-0.94% and 0.029%-0.09% for bladder and uretric injuries respectively compared to 0.07 and 0.01 for bladder and uretric injuries in Qatar, a previous caesarean section still represents the most common predisposing factor for infra-operative bladder injury [17 cases; 0.08%] while only one such injury occurred in a primary caesarean section [0.0047%]