All About Chorionic Villus Sampling (CVS)

What is Chorionic Villus Sampling (CVS) Test?

Chorionic villus sampling (CVS) is a prenatal test performed for detecting chromosomal abnormalities and other inherited disorders and birth defects. In this test, a sample of chorionic villi is removed from the placenta and sent to the lab for genetic analysis and detection of abnormalities.

Advantages of Taking Chorionic Villus Sampling Test

CVS is done early in pregnancy(first trimester), and the results are obtained within ten days. If the test results are abnormal, it allows the couple to choose between terminating the pregnancy at the beginning of the pregnancy itself. It is much safer to terminate the pregnancy in the early stage.

What Kind of Problems Does the CVS Test Diagnose?

Chorionic villus sampling can diagnose most of the chromosomal issues and several hundreds of genetic issues. Some of the commonly searched defects by performing chorionic villus sampling are down syndrome, cystic fibrosis, Tay-Sachs disease, sickle cell anemia, etc.

When is Chorionic Villus Sampling Test Performed?

Not everybody pregnant should undergo CVS. CVS is performed when the expecting mother has an increased chance of having a child with a birth defect or hereditary issue.

The doctor may suggest CVS if:

• The expecting mother is above 35. Once the women have crossed the age of 35, the chances of having a child with chromosomal abnormality increase.
• Father or Mother or both the parents have certain genetic disorders.
• Expecting mother has undergone one or more spontaneous abortions in her previous pregnancies without any significant reasons.
• Father or Mother or both parents have a family history of genetic issues.
• Parents already have a child with genetic issues like down syndrome.
• Prenatal tests show some abnormal results.

[Read: Recurrent Miscarriage]

How is Chorionic Villus Sampling Test Performed?

The objective of the procedure of chorionic villus sampling is to collect the cells from the chorionic villus. This is performed 10 to 13 weeks after the last menstrual period by an experienced perinatologist. During this procedure, a thin tube is inserted through the vagina(transcervical).

Alternatively, a long, thin needle is put through the abdomen(transabdominal) towards the placenta. The cells are collected into the tube, which is removed slowly and carefully. The whole procedure is assisted by an ultrasound to find the right spot.

After the procedure, the doctor will check the heartbeat of the baby and maternal blood pressure, breathing, etc. to make sure there are no complications.

How Are CVS Test Results Evaluated?

As in the case of all prenatal tests, CVS also cannot measure the severity of the abnormality. However, the results are highly reliable, as they possess 98% accuracy. One drawback of CVS is that it is not able to detect the neural tube defect of the baby. Sometimes a false positive result is obtained in which abnormal genetic material other than that of the baby is found in the villus. Further tests like amniocentesis are needed to get clarity and confirm the issue.

[Read: Amniocentesis Test During Pregnancy]

What Are the Risk of the Chorionic Villus Sampling Test?

Although CVS is a safe procedure, it does have a potential risk as it is an invasive diagnostic test. Miscarriage is the most significant risk associated with this test. It can happen in one out of every hundred CVS performed. Nevertheless, if a very experienced and skilled perinatologist performs the test, it can decrease to one in every 400 procedures.

Other issues that may occur after performing CVS are:

• Abdominal cramping
• Vaginal spotting
• Leakage of amniotic fluid
• Soreness in the belly area(if performed trans-abdominal)

Mostly these issues will resolve on their own in a couple of days. Very rarely CVS can cause:

• Uterine infection
• Rh sensitization (Baby’s blood cells entering into mother’s bloodstream). If the Rh group varies with mother and child, an Rh-immune globulin shot is given to the mother after the procedure to avoid the production of antibodies against the RBC of the fetus which can cross the placenta and destroy the RBC of the baby.

Chorionic Villus Sampling Vs. Amniocentesis

Amniocentesis, another kind of prenatal test, which is conducted to detect the genetic issues of the fetus, can only be performed around the 16th week of pregnancy. By then, the pregnancy will get into the second trimester, whereas CVS can be performed as earlier as 10 to 13th weeks of gestation. The result is also obtained faster in CVS than an amniocentesis.

When to Seek Medical Attention After the Procedure?

Though minor cramps, spotting, and fluid leakage is common during CVS, but seek immediate medical attention, if the expecting mother experiences:

• Chills
• Fever
• Seizures
• Moderate to severe cramps instead of slight one
• Moderate to severe bright red bleeding instead of spotting
• Dizziness
• Excessive leakage of amniotic fluid

When is CVS Test is Not Recommended?

CVS is not recommended for expecting mothers:

• One who is bearing more than one child.
• One who is already experiencing vaginal bleeding or spotting.
• Also, who are already experiencing some sort of infection.

Transcervical CVS is not recommended if the mother has a tilted uterus or fibroids.

Though CVS has its potential risk, the benefits from the results outweigh the risk. So you can go ahead with the decision of your doctor to perform CVS.

Read Also: Triple Screening In Pregnancy – What It Is and What To Expect?

FAQ’s

1. Is A CVS Test Painful?

Discomfort rather than pain is the most common way that CVS is reported. An injection of local anesthetic is often administered before transabdominal CVS to numb the region where the needle is put, but some patients still report abdominal discomfort following the procedure. The transcervical CVS procedure feels very much like a standard cervical checkup.

2. Is Chorionic Villus Sampling CVS Safe?

Chorionic villus sampling is a well-established and risk-free method for doing prenatal diagnostic genetic testing. When combined with modern ultrasound technology and a competent healthcare professional, the risk of complications is low.

3. How Long After CVS Can Miscarriage Occur?

Most miscarriages after CVS occur during the first three days after the procedure. Yet, in certain situations, a miscarriage may occur up to two weeks later.

4. How Long Should You Rest After CVS?

You must rest for at least the first 24 hours after your procedure. Over the next three to four days after that, you must refrain from any physical activity, including exercise, sexual activity, and heavy lifting.

5. Can You Drive After A CVS?

You’ll need to rest shortly following a CVS test, so have someone drive you home. You’ll need to relax for the rest of the day. Women are often recommended to avoid vigorous physical activity, sex, and exercise for three days after the procedure.