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CHROMOSOME ANALYSIS OF AMNIOTIC FLUID

Synonym(s):

​KARYOTYPE AMNIOTIC FLUID

Description

Indications

​- Advanced maternal age (≥35 years at EDD)
- Abnormal ultrasound findings
- Positive maternal serum screening
- Previous history of chromosome abnormality
- Family history of Down syndrome
- Parental anxiety
- High risk non-invasive prenatal test (NIPT)

Specimen Required

​Amniotic fluid (15 – 25ml) from between the 15th and 16th week of gestation. Discard the first 2ml of the aspirate. Use a sterile 25 or 30ml syringe. Draw and transfer the specimen into two sterile screw-capped 15ml V-shaped tubes. Bloody specimens are undesirable. If growth is inadequate, you will be notified within 14 days of receipt.

Storage and Transport

Method

​in situ coverslip technique

Test Results

​Normal or Abnormal. If Abnormal, the karyotypic abnormality is described in accordance to the International System for Human Cytogenomic Nomenclature (ISCN, 2020).

Reference Interval / Value

Turnaround Time

​8 ~ 14 days

Day(s) Test Set up

​Monday - Saturday (office hours)

Remarks

​Indicate clearly the clinical indications, gestation age, LMP, EDD and volume of fluid taken on the cytogenetics request form or CPOE. Do not despatch a specimen near a weekend or a public holiday to avoid unnecessary delays.

Change History Notes

Others

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