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Chorionic Villus Sampling

What is it?
This is a test in which a few cells are taken from the developing placenta (chorion) and tested for chromosomal abnormalities in the baby. It can be performed as early as 10 weeks onwards.

The main advantage of the CVS test is that results are normally ready during the early weeks of pregnancy.

Why Is The Test Done?
This test is advisable for those who are over 35 years of age, in view of the increased risk of the baby having a chromosomal abnormality such as Down’s Syndrome. Women with a family history and abnormal blood tests results are also at higher risk. It is particularly done for the diagnosis of Thalassemia.

What Will The Test Show?
The cells are tested for chromosomal disorders, of which Down’s Syndrome is the most important. If there is a family history of certain inherited diseases it may be possible to test for these also especially Thalassemia. CVS will not necessarily exclude subtle chromosomal abnormalities or mosaicism.

25
1 in 1,500   38 1 in 170
30
1 in 800   39 1 in 140
35
1 in 350   40 1 in 100
36
1 in 300   45 1 in 25
37
1 in 200      

How Is It Done?
The test takes place in the Ultrasound room. You will have the opportunity to ask questions or discuss any problem with the staff. One relative may stay with you during the procedure if you wish.

You will have a ultrasound scan before to locate the position of the placenta. A local anesthetic will be injected into the skin. Under ultrasound guidance a fine needle will be passed through the skin and into the placenta. A tiny piece of tissue is gently sucked up through the needle. Occasionally it is necessary to repeat the procedure once more in order to obtain more tissue. During this time the ultrasound is done to avoid injuries to the fetus and placenta. The whole procedure will take about 20 minutes.

Results take one to two weeks. Risks include infection, bleeding, harm to the fetus, and miscarriage. Long-term risks of this procedure are unknown.

 
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