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Amniocentesis and CVS

Amniocentesis and chorionic villus sampling (CVS) are tests that help find out if the baby has a problem before birth

Some parents are at increased risk of having a baby with a genetic disorder or other problem and may want to have one of these tests. Knowing about problems before the baby is born may help parents make decisions about health care for their infant. Certain problems can be treated before the baby is born, while other problems may need special treatment right after delivery. In some cases, parents may decide not to continue the pregnancy.

Do all pregnant women have amniocentesis and/or CVS?

No. Amniocentesis or CVS are usually considered in situations in which the parents are at increased risk of having an infant with a genetic disorder.

The tests may be useful for a pregnant woman who is 35 years of age or older by the time the baby is due. Women older than 35 years of age have an increased risk of having a baby with a chromosomal abnormality, such as Down syndrome (Trisomy 21).

The tests may also be useful if you have previously had a child with Down syndrome or another disorder, such as spina bifida. The tests may also be helpful for parents of babies whose mother or father are known carriers of a genetic disorder, such as cystic fibrosis.

How is amniocentesis performed?

Amniocentesis is performed by inserting a thin needle through the woman's abdomen into the uterus (womb) and withdrawing a small amount of fluid. The fluid is sent to a lab for a series of tests.

The baby is not be hurt during the procedure and the fluid is naturally replaced . Some women feel mild cramping during or after the procedure. Your doctor may tell you to rest on the day of the test, but usually you can resume normal activity the next day.

How is chorionic villus sampling performed?

CVS is performed by removing a small sample of the placenta (nourishment for the baby) from the uterus. It is removed with either a catheter (a thin tube) or a needle. Local anesthesia is used for this test to reduce pain and discomfort. The sample of placenta may be obtained through the cervix. A catheter is inserted into the vagina and through the cervix and the sample is withdrawn.

The sample can also be obtained by inserting a needle into the abdomen and withdrawing some of the placenta. Most women feel fine after the test, although some may have mild bleeding (spotting) afterward.

When are the tests performed?

Amniocentesis is usually performed during the 15th week of pregnancy or later. CVS is usually performed between the 10th and 12th weeks of pregnancy.

Is one test better than the other?

There are some situations in which amniocentesis is more appropriate than CVS.

Amniocentesis is preferred if you have previously had a baby with a neural tube defect or if you or your partner have a neural tube defect. (CVS does not detect neural tube defects.) Amniocentesis may also be recommended if the results of other tests (such as the alpha-fetoprotein test) during your pregnancy have been abnormal. The blood screening test may show that your infant is at greater risk of having a neural tube defect or a disorder such as Down syndrome.

CVS may be better if you and your doctor want to know the test results during your first trimester since it is performed earlier during the pregnancy.

Are there risks involved with these tests?

Amniocentesis and CVS carry a small risk of miscarriage.

Results of some studies suggest that in a small number of cases, CVS may cause defects in the infant's fingers or toes. However, this only appears to occur if the test is done before the 9th week of pregnancy. Your doctor will talk to you about the risks and benefits of amniocentesis and CVS.

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