Who discovered the amniocentesis procedure and when was it first used?
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Answers:
In the literature, transabdominal amniocentesis in the third trimester has been reported by Prochownick, Von Schatz and Lambl in 1877 and Schatz in the 1890s. In 1919 there was a report from Hinkel describing release of amniotic fluid from a patient with polyhydramnios. Menees et. al. reported in 1930 removal of amniotic fluid by transabdominal needling. Radio-opaque contrast was injected to outline the fetus and placenta. Bevis in 1953 obtained samples of liquor by abdominal paracentesis, at two-weekly intervals, in the management of rhesus isoimmunized patients, and to predict the gravity of the condition.
The first use of amniotic fluid examination in the diagnosis of genetic disease was reported by Fuchs and Riis in 1956 in their seminal article in "Nature". They determined fetal sex from cells found in amniotic fluid, basing on the presence or absence of the Barr body. John Edward in England, also discussed for the first time in 1956 the possibility of the "antenatal detection of hereditary disorders". The determination of fetal sex led to the prenatal management of patients with Haemophilia A in 1960, and Duchenne muscular dystrophy in 1964.
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