Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)

Background: Chorionic villus sampling (CVS) is one of the invasive diagnostic methods used to diagnose chromosomal, genetic, and metabolic diseases in the embryonic period. The use of this method is associated with maternal and fetal consequences, the most serious of which is abortion. Therefore, th...

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Main Authors: Minoo Movahedi, Farinaz Farahbod, Elahe Zarean, Maryam Hajihashemi, Fedyeh Haghollahi, Mehri Farahmand
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=133;epage=133;aulast=Movahedi
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author Minoo Movahedi
Farinaz Farahbod
Elahe Zarean
Maryam Hajihashemi
Fedyeh Haghollahi
Mehri Farahmand
author_facet Minoo Movahedi
Farinaz Farahbod
Elahe Zarean
Maryam Hajihashemi
Fedyeh Haghollahi
Mehri Farahmand
author_sort Minoo Movahedi
collection DOAJ
description Background: Chorionic villus sampling (CVS) is one of the invasive diagnostic methods used to diagnose chromosomal, genetic, and metabolic diseases in the embryonic period. The use of this method is associated with maternal and fetal consequences, the most serious of which is abortion. Therefore, the present study was conducted to investigate the incidence of these consequences and the factors affecting the incidence of abortion. Materials and Methods: A cross-sectional study was performed on 98 pregnant women with CVS indications. Maternal and fetal outcomes including abortion, vaginal bleeding, subchorionic hematoma, premature rupture of membrane (PROM), chorioamnionitis, preterm delivery, limb abnormality, fetal growth retardation, and preeclampsia were recorded. Results: The results of the present study showed that the incidence of fetal outcomes including fetal growth failure, premature rupture of membranes, abortion, and limb abnormalities was 4.1%, 7.1%, 3.1%, and 1%, and the incidence of maternal outcomes including preterm delivery, subchorionic hematoma, preeclampsia, and hemorrhage was 14.3%, 3.1%, 6.1%, and 10.2%, respectively. In addition, a decrease in free BHCG and an increase in NT were significantly associated with the occurrence of abortion (OR: 0.11 and 4.25, respectively, P value < 0.05). Conclusion: It should be noted that due to a long time between placental sampling and the occurrence of vaginal bleeding, premature rupture of membrane, and preterm delivery, it seems that placental sampling has no effect. In addition, only a decrease in free BHCG or an increase in NT significantly increased the chance of miscarriage.
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spelling doaj.art-d2106b439ca44400b9680d02e93f69d62023-10-26T05:43:17ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752023-01-0112113313310.4103/abr.abr_229_22Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)Minoo MovahediFarinaz FarahbodElahe ZareanMaryam HajihashemiFedyeh HaghollahiMehri FarahmandBackground: Chorionic villus sampling (CVS) is one of the invasive diagnostic methods used to diagnose chromosomal, genetic, and metabolic diseases in the embryonic period. The use of this method is associated with maternal and fetal consequences, the most serious of which is abortion. Therefore, the present study was conducted to investigate the incidence of these consequences and the factors affecting the incidence of abortion. Materials and Methods: A cross-sectional study was performed on 98 pregnant women with CVS indications. Maternal and fetal outcomes including abortion, vaginal bleeding, subchorionic hematoma, premature rupture of membrane (PROM), chorioamnionitis, preterm delivery, limb abnormality, fetal growth retardation, and preeclampsia were recorded. Results: The results of the present study showed that the incidence of fetal outcomes including fetal growth failure, premature rupture of membranes, abortion, and limb abnormalities was 4.1%, 7.1%, 3.1%, and 1%, and the incidence of maternal outcomes including preterm delivery, subchorionic hematoma, preeclampsia, and hemorrhage was 14.3%, 3.1%, 6.1%, and 10.2%, respectively. In addition, a decrease in free BHCG and an increase in NT were significantly associated with the occurrence of abortion (OR: 0.11 and 4.25, respectively, P value < 0.05). Conclusion: It should be noted that due to a long time between placental sampling and the occurrence of vaginal bleeding, premature rupture of membrane, and preterm delivery, it seems that placental sampling has no effect. In addition, only a decrease in free BHCG or an increase in NT significantly increased the chance of miscarriage.http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=133;epage=133;aulast=Movahediabortionchorionic villus samplingchromosomal abnormalitiespreeclampsiapregnancy outcome
spellingShingle Minoo Movahedi
Farinaz Farahbod
Elahe Zarean
Maryam Hajihashemi
Fedyeh Haghollahi
Mehri Farahmand
Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
Advanced Biomedical Research
abortion
chorionic villus sampling
chromosomal abnormalities
preeclampsia
pregnancy outcome
title Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
title_full Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
title_fullStr Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
title_full_unstemmed Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
title_short Evaluation of fetal and maternal outcomes in chorion villus sampling (CVS)
title_sort evaluation of fetal and maternal outcomes in chorion villus sampling cvs
topic abortion
chorionic villus sampling
chromosomal abnormalities
preeclampsia
pregnancy outcome
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2023;volume=12;issue=1;spage=133;epage=133;aulast=Movahedi
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