Risks of chorionic villus sampling

Before you decide to have chorionic villus sampling (CVS), you'll be told about the risks and possible complications.

The main risks associated with the procedure are outlined below.

Miscarriage

CVS carries a risk of Miscarriage , which is the loss of a pregnancy within the first 23 weeks.

The risk of miscarriage after CVS is estimated to be about 1-2%. This means that 1 in every 50 to 100 women will have a miscarriage after having CVS.

However,it's difficult to determine which miscarriages would have happened anyway, and which are the result of the CVS procedure. Some recent research has suggested that only a very small number of miscarriages that occur after CVS area direct result of the procedure.

In most cases, miscarriages linked to CVS occur within two weeks of the procedure. There's no evidence to suggest you can do anything during this timeto reduce your risk.

The risk of miscarriage after CVSis considered tobe slightly higher than after an alternative test called amniocentesis , which is carried out slightly later in pregnancy.

Inadequate sample

In around 1% of procedures, the sample of cells removed may not be suitable for testing. This could be because not enough cells were taken, or because the sample was contaminated with cells from the mother.

If the sample is unsuitable, it may be necessary for the CVS procedure to be carried out again, or to wait a few weeks to have amniocentesis instead.

Infection

As with all types of surgical procedures, there's a risk of infection during or after CVS. Infection can occur if there are bacteria on your skin or on the instruments being used.

However, severe infection occurs in less than 1 in every 1,000 procedures.

Rhesus sensitisation

If your blood type is rhesus (RhD) negative, but your babys blood type is RhD positive, it's possible for sensitisation to occur during CVS.

This is where some of your baby's blood enters your bloodstream and your body starts to produce antibodies to attack it. If it's not treated, this can cause the baby to develop rhesus disease .

If you don't already know your blood type, a blood test will be carried out before CVS to see if there's a risk of sensitisation. Aninjection of a medication called anti-D immunoglobulin can be given to stop sensitisation occurring, if necessary.

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