Chorionic Villi Sampling
Chorionic villi sampling (CVS) is a procedure performed in the first trimester of pregnancy to detect to detect birth defects. Samples are taken from parts of the placenta called the chorionicvilli, which have the same genes as the fetus. CVScan detect most of the same defects as amniocentesis, but itcannot detect open neural tube defects. If you have CVS, you willwant to consider having a blood alpha-fetoprotein (AFP)test later in your pregnancy to test for neural tubedefects. Here is some information about the test and the risks involved.
Who Should Have CVS?Your doctor will discuss the benefits and risks of the test with you based on your pregnancy. This test is only useful if the results will change the management of your pregnancy or change your desire to continue the pregnancy. If you are at higher risk for having a baby with birth defects, you may wish to have this test. Examples of things that may put you at higher risk are:
- Age 35 years old or older when you give birth
- Family history of certain birth defects
- Previous child with a birth defect
- Abnormal results on other genetic screening tests
Understanding the ProcedureCVS is usually done about 10-12 weeks from a woman's last menstrual period and once the presence of a living pregnancy has been established. The procedure is performed in the doctor's office or hospital. Cells can be collected from the placenta in 2 ways—through the abdomen or through the vagina. If you have any bleeding during pregnancy, problems with your cervix, or a sexually transmitted disease, you may be offered CVS through the abdomen as the preferred route. Your doctor will do an ultrasound exam to determine the baby's age and the position of the placenta. This will also help determine whether cells are collected through the abdomen or through the vagina. If collecting cells through the abdomen, a needle will be inserted through your abdomen, into your uterus, and into your placenta under local anesthesia. A sample of chorionic villi will be collected. If collecting cells through the vagina, a speculum will be inserted. A thin tube will be inserted into your vagina and up through your cervix. An ultrasound will be used to guide the tube to your placenta and a small sample of chorionic villi will be removed and sent to a lab. Results may take up to 2 weeks.
Risks of Having CVSThere is a risk of infection with CVS. Because the procedure is doneearlier than amniocentesis, there is a slightly higher risk of miscarriage. You may also experience cramping or bleeding.Most women do not need this test with every pregnancy. If you feel you fall into one of the categories listed above, or you have other concerns about prenatal testing, talk to your doctor.
American Congress of Obstetricians and Gynecologists
International Childbirth Education Association
Women's Health Matters
Chorionic villus sampling: CVS. American Pregnancy Association website. Available at: http://www.americanpregnancy.org/prenataltesting/cvs.html. Updated April 2014. Accessed December 23, 2014.
Prenatal care and tests. Women's Health—US Department of Health and Human Services website. Available at: http://womenshealth.gov/pregnancy/you-are-pregnant/prenatal-care-tests.html. Updated September 27, 2010. Accessed December 23, 2014.
Prenatal diagnosis: Amniocentesis and CVS. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/pregnancy-newborns/fetal-health/prenatal-diagnosis-amniocentesis-and-cvs.html. Updated August 2010. Accessed December 23, 2014.
Routine prenatal care. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 22, 2014. Accessed December 23, 2014.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014
- Update Date: 12/23/2014