Chorion
If I am approximately 8 weeks pregnant and want to undergo DNA testing, will the process of "chorionic villus sampling or amniocentesis" be extremely dangerous? Could it cause harm to the mother and fetus? Thank you!
sasa, 30~39 year old female. Ask Date: 2003/07/18
Dr. Wang Jionglang reply Obstetrics and Gynecology
Hello: In response to your question, during pregnancy, chorionic villus sampling (CVS) and amniocentesis can be used to further examine the chromosomal composition and specific gene DNA of the fetus.
When performed at the appropriate gestational weeks—amniocentesis around 9 weeks and chorionic villus sampling between 14 to 18 weeks—by an experienced obstetrician, the procedures are very safe and do not lead to fetal malformations.
Regarding the safety controversies surrounding amniocentesis and chorionic villus sampling, a report from 1999 by countries such as the United States and the United Kingdom, as well as the World Health Organization, confirmed that these procedures do not increase the risk of fetal malformations.
Wishing you a pleasant pregnancy journey!
Reply Date: 2003/07/18
More Info
Chorionic Villus Sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta (chorionic villi) to test for genetic abnormalities in the fetus. It is typically performed between the 10th and 13th weeks of pregnancy, although some practitioners may consider it as early as 8 weeks. The procedure is generally considered safe when performed by an experienced healthcare provider, but like any medical procedure, it does carry some risks.
One of the primary concerns with CVS is the potential for miscarriage. Studies suggest that the risk of miscarriage following CVS is approximately 1 in 100 to 1 in 200, which is slightly higher than the baseline risk of miscarriage in the general population. However, it is important to note that the majority of women who undergo CVS do not experience complications, and the procedure can provide valuable information about the genetic health of the fetus.
In terms of safety for both the mother and the fetus, CVS is generally well-tolerated. The procedure involves inserting a thin tube (catheter) through the cervix or using a needle through the abdomen to obtain the tissue sample. While discomfort or cramping may occur during the procedure, serious complications are rare. The World Health Organization and various studies have indicated that when performed correctly, CVS does not significantly increase the risk of fetal malformations.
For women considering CVS at around 8 weeks of pregnancy, it is crucial to have a thorough discussion with a healthcare provider. They can provide personalized advice based on individual health history, the reason for testing, and the potential benefits and risks associated with the procedure. If there are specific concerns about the timing of the procedure, alternative non-invasive prenatal testing (NIPT) methods may be available, which can assess the risk of certain genetic conditions without the associated risks of invasive procedures.
In summary, while CVS can be performed as early as 8 weeks, it is essential to weigh the risks and benefits carefully. The procedure is generally safe when conducted by a qualified professional, and the information gained can be invaluable for expecting parents. If you have concerns about the safety of CVS or the implications of the results, consider seeking genetic counseling, which can provide additional support and information tailored to your situation.
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