Elsevier

The Lancet

Volume 340, Issue 8824, 10 October 1992, Pages 886-890
The Lancet

CLINICAL PRACTICE
Importance of complete follow-up of spontaneous fetal loss after amniocentesis and chorion villus sampling

https://doi.org/10.1016/0140-6736(92)93293-VGet rights and content

Abstract

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.

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