{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T02:53:41Z","timestamp":1773716021256,"version":"3.50.1"},"reference-count":11,"publisher":"Walter de Gruyter GmbH","issue":"4","funder":[{"DOI":"10.13039\/501100002842","name":"Chiang Mai University","doi-asserted-by":"publisher","award":["CMU-2563"],"award-info":[{"award-number":["CMU-2563"]}],"id":[{"id":"10.13039\/501100002842","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004396","name":"The Thailand Research Fund","doi-asserted-by":"publisher","award":["DPG6280003"],"award-info":[{"award-number":["DPG6280003"]}],"id":[{"id":"10.13039\/501100004396","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2020-0430_abs_001_w2aab3b7c45b1b6b1aab1c15b1Aa\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To compare the rate of fetal loss in pregnancy after second trimester amniocentesis between procedures performed by experts and non-experts and to assess other pregnancy complications as secondary outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0430_abs_002_w2aab3b7c45b1b6b1aab1c15b2Aa\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective cohort study was performed on singleton pregnancies that underwent mid-trimester amniocenteses in a single institution. The fetal loss rates of procedures performed by experts and non-experts were collected and analyzed. Other adverse pregnancy outcomes were also examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0430_abs_003_w2aab3b7c45b1b6b1aab1c15b3Aa\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 14,450 amniocenteses were performed during the study period. These included 11,357 (78.6%) procedures in the group expert operators and 3,093 (21.4%) procedures in the group non-expert operators. In the non-expert group, the fetal loss rate was slightly increased but not significantly (p=0.24).In addition, the higher number of spontaneous abortions was associated with blood-stained amniotic fluid sample (p&lt;0.001; RR=9.28). Multiple needle insertions also increased in the non-expert group significantly. However, no difference in pregnancy outcomes was found between in single and multiple needle insertions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2020-0430_abs_004_w2aab3b7c45b1b6b1aab1c15b4Aa\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The amniocentesis procedures performed by the non-experts was not increase the fetal loss rate. However, the other adverse pregnancy outcomes, including preterm birth, low birth weight and fetal growth restriction were significantly increased in the non-expert group.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2020-0430","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T10:48:17Z","timestamp":1608634097000},"page":"474-479","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of pregnancy outcomes after second trimester amniocentesis between procedures performed by experts and non-experts"],"prefix":"10.1515","volume":"49","author":[{"given":"Tanapak","family":"Wisetmongkolchai","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuanglada","family":"Tongprasert","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasemsri","family":"Srisupundit","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suchaya","family":"Luewan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuntharee","family":"Traisrisilp","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theera","family":"Tongsong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-3501","authenticated-orcid":false,"given":"Phudit","family":"Jatavan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Faculty of Medicine, Chiang Mai University , Chiang Mai , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"key":"2023040100375554098_j_jpm-2020-0430_ref_001_w2aab3b7c45b1b6b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"American College of O, Gynecologists\u2019 Committee on Practice B-O, Committee on G, Society for Maternal-Fetal M. 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