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Related Experiment Videos

Transcervical chorionic villus sampling and midtrimester oligohydramnios.

E Y Cheng1, D A Luthy, D E Hickok

  • 1Division of Perinatal Medicine, Swedish Hospital Medical Center, Seattle, WA 98104.

American Journal of Obstetrics and Gynecology
|October 1, 1991
PubMed
Summary

Transcervical chorionic villus sampling (CVS) may be associated with midtrimester oligohydramnios, a condition observed in 2.7% of CVS cases. Postprocedure bleeding and elevated alpha-fetoprotein were identified as risk factors.

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Editorial Introduction.

Journal of genetic counseling·2015

Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Genetic Diagnosis

Background:

  • Midtrimester oligohydramnios is a significant complication in pregnancy.
  • Chorionic villus sampling (CVS) is a common first-trimester genetic diagnostic procedure.
  • The association between CVS and oligohydramnios requires further investigation.

Purpose of the Study:

  • To investigate the potential association between transcervical chorionic villus sampling (CVS) and the development of midtrimester oligohydramnios.
  • To compare the incidence of oligohydramnios in women undergoing CVS versus amniocentesis.
  • To identify risk factors for oligohydramnios following CVS.

Main Methods:

  • Prospective cohort study comparing women undergoing CVS with those undergoing amniocentesis.

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  • Follow-up for incidence of midtrimester oligohydramnios (16-23 weeks' gestation).
  • Nested case-control analysis within the CVS group to assess risk factors.
  • Main Results:

    • Severe oligohydramnios developed in 12 (2.7%) of 442 women after CVS with normal fetal karyotypes.
    • No oligohydramnios was observed in 391 women who underwent amniocentesis (p = 0.01).
    • Postprocedure bleeding and elevated maternal serum alpha-fetoprotein were significantly associated with oligohydramnios after CVS (p < 0.01).

    Conclusions:

    • Transcervical CVS may be associated with an increased risk of midtrimester oligohydramnios.
    • Postprocedure bleeding and elevated maternal serum alpha-fetoprotein are risk factors for oligohydramnios post-CVS.
    • No perinatal survivors were noted in cases of midtrimester oligohydramnios.