{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:54:25Z","timestamp":1783605265537,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Celocentesis is an invasive technique that can provide prenatal diagnosis of single\u2010gene disorders, from as early as 7\u2009weeks' gestation. The objective of this study was to examine the safety of celocentesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective study, celocentesis was performed for prenatal diagnosis of hemoglobinopathy in 402 singleton pregnancies in which both parents were carriers of<jats:italic>\u03b2<\/jats:italic>\u2010thalassemia or sickle cell disease trait. We assessed procedure\u2010related maternal discomfort or pain, success of sampling and obtaining results, pregnancy outcome and postnatal follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>First, celocentesis was carried out at a median gestational age of 8.6 (range, 6.9\u20139.9)\u2009weeks and celomic fluid was successfully aspirated in 99.8% of cases. Second, 67% of women had no or only mild discomfort, 18% had moderate discomfort, 12% had mild\u2010to\u2010moderate pain and 3% had severe pain. Third, prenatal diagnosis from analysis of the celomic fluid was successful in 93.8% cases, and in the last 121 cases, it was always successful. Fourth, in all cases of successful sampling and analysis of celomic fluid, the diagnosis was concordant with results obtained from additional prenatal or postnatal testing. Fifth, in addition to diagnosis of hemoglobinopathy, quantitative fluorescence polymerase chain reaction analysis, which was performed to evaluate maternal contamination using several markers for chromosomes X, Y, 21, 18 and 13, led to the accurate diagnosis of chromosomal aneuploidy. Sixth, in all cases of an affected fetus diagnosed by celocentesis in which the parents chose termination of pregnancy, this was carried out &lt;\u200910\u2009weeks' gestation. Seventh, in 97.1% (298\/307) of the continuing pregnancies there was live birth, in seven (2.3%) there was miscarriage and in two (0.7%) there was loss to follow\u2010up. Eighth, fetal abnormalities were diagnosed in three (1%) cases, including unilateral transverse amputation of the forearm, unilateral moderate hydronephrosis and small\u2010bowel duplication. All neonates were examined by a pediatrician and were found to be phenotypically normal, except for the three cases with a prenatally diagnosed defect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Celocentesis can be used for early prenatal diagnosis of genetic abnormalities, and the procedure\u2010related risk of pregnancy complications appears to be low. Copyright \u00a9 2020 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.22059","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T20:25:11Z","timestamp":1588019111000},"page":"672-677","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Celocentesis for early prenatal diagnosis of hemoglobinopathy"],"prefix":"10.1002","volume":"56","author":[{"given":"G.","family":"Makrydimas","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ioannina University Hospital Ioannina Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Damiani","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Jakil","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Cigna","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Orlandi","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Picciotto","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Schillaci","sequence":"additional","affiliation":[{"name":"UOS Medicina Fetale e Diagnosi Prenatale AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Cassar\u00e0","sequence":"additional","affiliation":[{"name":"Laboratory for Molecular Diagnosis of Rare Diseases AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Vinciguerra","sequence":"additional","affiliation":[{"name":"Laboratory for Molecular Diagnosis of Rare Diseases AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Leto","sequence":"additional","affiliation":[{"name":"Laboratory for Molecular Diagnosis of Rare Diseases AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Giambona","sequence":"additional","affiliation":[{"name":"Laboratory for Molecular Diagnosis of Rare Diseases AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Maggio","sequence":"additional","affiliation":[{"name":"Campus of Hematology Franco and Piera Cutino AOOR Villa Sofia Cervello Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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