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They are intended to reflect what is considered by ISUOG to be the best practice at the time at which they are issued. The aim of this document is to describe the main aspects of invasive fetal procedures for prenatal diagnosis. Technical issues, clinical indications, diagnostic capabilities and possible complications are considered in light of the available literature. Details of the grades of recommendations and levels of evidence used are given in Appendix 1. Amniocentesis refers to transabdominal aspiration of amniotic fluid from the uterine cavity. A 20—G needle should be inserted transabdominally under continuous ultrasound guidance 2 - 5.
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