Understanding Chorionic Villus Sampling (CVS)

A Guide to Prenatal Diagnostic Testing

Family Medicine

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Last updated: Mar 24, 2025

What is CVS?

Chorionic villus sampling (CVS) is a prenatal diagnostic test that involves collecting a small sample of placental tissue (chorionic villi) to test for chromosomal abnormalities and genetic disorders in the developing fetus.

When is CVS Performed?

  • Usually between 10 and 13 weeks of pregnancy
  • Earlier than amniocentesis
  • When there are specific risk factors or concerns

Reasons for CVS Testing

  • Advanced maternal age (35 or older)
  • Abnormal first-trimester screening results
  • Family history of genetic disorders
  • Previous pregnancy with chromosomal abnormalities

The Procedure

Two Approaches:

  1. Transcervical: Through the cervix using a thin catheter
  2. Transabdominal: Through the abdomen using a fine needle

What to Expect

  • Takes approximately 20-30 minutes
  • Performed under ultrasound guidance
  • Local anesthetic may be used
  • Recovery time is minimal

Risks and Complications

  • Miscarriage (about 1%)
  • Infection (rare)
  • Bleeding or spotting
  • Cramping

Results and Accuracy

  • Results available within 10-14 days
  • 98-99% accuracy rate
  • May detect:
    • Chromosomal disorders
    • Genetic conditions
    • Inherited disorders

Recovery Guidelines

  • Rest for 24 hours after procedure
  • Avoid strenuous activities
  • Monitor for complications
  • Follow up with healthcare provider as directed

When to Seek Medical Attention

  • Heavy bleeding
  • Severe cramping
  • Fever
  • Fluid leakage
  • Severe pain

Alternatives to CVS

  1. Amniocentesis
  2. Non-invasive prenatal testing (NIPT)
  3. First-trimester screening
  4. Cell-free DNA testing

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