Importance of complete follow-up of spontaneous fetal loss after amniocentesis and chorion villus sampling
| Autor: | Jane Halliday, John B. Carlin, Hugh P. Robinson, Peter Renou, Judith Lumley, Leslie J. Sheffield |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
medicine.medical_specialty Chorionic villus sampling Gestational Age Prenatal diagnosis Biology Pregnancy Risk Factors Prenatal Diagnosis medicine Humans Fetal loss Gynecology Fetus medicine.diagnostic_test Amnion business.industry Obstetrics Australia Pregnancy Outcome Obstetrics and Gynecology Sampling (statistics) Gestational age General Medicine medicine.disease Abortion Spontaneous Pregnancy Complications medicine.anatomical_structure Chorionic Villi Sampling embryonic structures Amniocentesis Chorionic villi Female business Follow-Up Studies |
| Zdroj: | The Lancet. 340:886-890 |
| ISSN: | 0140-6736 |
| Popis: | Women who are the most difficult to trace after amniocentesis or chorion villus sampling are often those who have had an adverse pregnancy outcome. To calculate total fetal loss figures for use in prenatal counselling we have followed in a multicentre study 100% of women who had undergone these procedures. Early spontaneous loss (within three weeks of the procedure) and total spontaneous loss were much lower after amniocentesis (0.2% and 1.3%, respectively) than after chorion villus sampling (1.2% and 2.9%). Four spontaneous fetal losses among the 20 pregnancies that were the most difficult to follow-up increased the loss rate by 0.5% for chorion villus sampling. Risk of early fetal loss after chorion villus sampling was related to experience of the operator (relative risk [RR] 4.3, p = 0.003), and total fetal loss was lower in pregnancies tested at 10 weeks' or more gestational age compared with those tested before 10 weeks' (RR 0.4, p = 0.01). A table showing the frequency of each of the seven possible outcomes after amniocentesis and chorion villus sampling is useful in counselling those considering one or other test. |
| Databáze: | OpenAIRE |
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