The complications caused by chorionic villus sampling and amniocentesis in mothers referred to perinatology clinic

Document Type : Original Article

Authors

1 General Practitioner, Student Research Committee, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

2 Midwifery Expert, Vice President of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

3 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

4 Assistant Professor, Department of Community Medicine, Iran Aging Research Center, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

5 M.Sc.of Midwifery, Vice President of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

6 Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

10.22038/ijogi.2024.75465.5884

Abstract

Introduction: After screening tests, CVS and amniotic fluid sampling (amniocentesis) are two definitive methods for prenatal diagnosis of chromosomal abnormalities and genetic diseases. The present study was conducted with aim to evaluate the complications caused by chorionic villus sampling and amniocentesis in mothers referred to perinatology clinic of Sabzevar University of Medical Sciences.
Methods: This analytic cross- sectional study was performed during 2016–2018. A total number of 448 pregnant mothers were included in the study, 397 of whom underwent amniocentesis and 51 underwent CVS. Two weeks after the procedures, five complications, including PPROM, IUFD, infection, spotting and spontaneous abortion were assessed. Data analysis was performed using SPSS statistical software (version 24) and t-test and chi-square test. P<0.05 was considered significant.
Results: In amniocentesis, spontaneous abortion occurred in 0.251%, amniotic leakage 0.755%, spotting 0.502%, chorioamnionitis 0.251% within 14 days after the procedure. There was no fetal intrauterine death in this method. In CVS, there were not any complications. There was no significant difference between the two methods in terms of side effects (p=0.98).
Conclusion: Considering the complications, CVS and amniocentesis are low risk methods for prenatal diagnosis.

Keywords

Main Subjects


  1. Hsu WW, Hsieh CJ, Lee CN, Chen CL, Lin MW, Kang J, et al. Complication rates after chorionic villus sampling and midtrimester amniocentesis: a 7-year national registry study. Journal of the Formosan Medical Association 2019; 118(7):1107-13.
  2. Aryan Z, Bahadori A, Farhud D. Prenatal diagnostic tests of genetic disorders. Tehran University Medical Journal 2019; 77(1):8-12
  3. Shahbazian N, Barati M, Arian P, Saadati N. Comparison of complications of chorionic villus sampling and amniocentesis. International Journal of Fertility & Sterility 2012; 5(4):241.
  4. Özcan HÇ, Uğur MG, Sucu S, Mustafa A, Tepe NB, Balat Ö. Summary of 2185 prenatal invasive procedures in a single center: A retrospective analysis. Turkish journal of obstetrics and gynecology 2017; 14(2):114.
  5. Niederstrasser SL, Hammer K, Möllers M, Falkenberg MK, Schmidt R, Steinhard J, et al. Fetal loss following invasive prenatal testing: a comparison of transabdominal chorionic villus sampling, transcervical chorionic villus sampling and amniocentesis. Journal of perinatal medicine 2017; 45(2):193-8.
  6. Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams Obstetrics. 25nd New York: McGraw-Hill Education; 2018.
  7. Haugen G, Sitras V. Prenatal Diagnostic Techniques. The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology: Obstetrics & Maternal-Fetal Medicine 2021; 1:102.
  8. Tara F, Lotfalizadeh M, Moeindarbari S. The effect of diagnostic amniocentesis and its complications on early spontaneous abortion. Electronic physician 2016; 8(8):2787.
  9. Di Mascio D, Khalil A, Rizzo G, Buca D, Liberati M, Martellucci CA, et al. Risk of fetal loss following amniocentesis or chorionic villus sampling in twin pregnancy: systematic review and meta‐analysis. Ultrasound in Obstetrics & Gynecology 2020; 56(5):647-55.
  10. Haraldsdottir KR, Gottfredsdottir H, Geirsson RT. Fetal loss after amniocentesis and chorionic villus sampling in Iceland. Laeknabladid 2014; 100(3):147-51.
  11. Wah YM, Leung TY, Cheng YK, Sahota DS. Procedure-related fetal loss following chorionic villus sampling after first-trimester aneuploidy screening. Fetal Diagnosis and Therapy 2017; 41(3):184-90.
  12. Akolekar R, Beta J, Picciarelli G, Ogilvie C, D'Antonio F. Procedure‐related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta‐analysis. Ultrasound in Obstetrics & Gynecology 2015; 45(1):16-26.
  13. Taghavi S, Barband S, Alikhahc H, Naghavi-Behzad M, Zarrintan A, Khan-Ahmadi S, et al. Complications of Amniocentesis in Northwest IRAN. Journal of Clinical Research & Governance 2015; 4(1):1-5.
  14. Hsu WW, Hsieh CJ, Lee CN, Chen CL, Lin MW, Kang J, et al. Complication rates after chorionic villus sampling and midtrimester amniocentesis: a 7-year national registry study. Journal of the Formosan Medical Association 2019; 118(7):1107-13.
  15. Cai L, Yang Y, Zou G, Zhang Y, Wu F, Yuan M, et al. Pregnancy Loss After Amniocentesis with Double-Needle Insertions in Twin Pregnancies. Twin Research and Human Genetics 2022; 25(1):50-5.
  16. Monzavi Sani R, Savadkuhi F, Roohani Z. Evaluation of the incidence of chorionic villus sampling complications at 10-13 weeks of gestation for early diagnosis of major thalassemia. Journal of Babol University of Medical Sciences 2010; 12(4):43-7.