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Pain with amniocentesis and transabdominal CVS
L de Crespigny1, H P Robinson, A Ngu
1Ultrasound Department, Royal Women's Hospital, Melbourne.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1990
Summary
Transabdominal chorionic villus sampling (CVS) and amniocentesis procedures generally cause mild pain or discomfort. Most patients reported minimal pain, indicating both prenatal diagnostic methods are well tolerated.
Area of Science:
- Obstetrics and Gynecology
- Prenatal Diagnostics
- Pain Management
Background:
- Chorionic villus sampling (CVS) and amniocentesis are common prenatal diagnostic procedures.
- Assessing patient-reported pain is crucial for understanding procedural tolerance and patient experience.
Purpose of the Study:
- To compare the levels of pain experienced by patients undergoing transabdominal chorionic villus sampling (CVS) versus amniocentesis.
- To evaluate the overall tolerability of these two invasive prenatal diagnostic procedures.
Main Methods:
- A questionnaire was administered to 50 consecutive patients post-transabdominal CVS and 52 post-amniocentesis.
- Patients reported their pain levels using a standardized scale following the procedures.
Main Results:
- 96% of amniocentesis patients and 90% of CVS patients reported mild pain, discomfort only, or no pain.
- Only 8% of CVS patients and 2% of amniocentesis patients reported moderate or severe pain.
Conclusions:
- Both transabdominal chorionic villus sampling and amniocentesis are generally well-tolerated procedures.
- The majority of patients experience minimal pain, suggesting effective pain management or inherent low pain profiles for these methods.