chorionic villous sampling- Risk or benefit

chorionic villous sampling- Risk or benefit

by Deleted user -
Number of replies: 3

Chorionic villous sampling, as beneficial as it is, as a screening test also has major risk involved and one begins to think if the benefit outweighs the risk. Chorionic villous sampling is a test carried out during pregnancy to detect abnormalities in an unborn baby. Sample of cells are taken from the placenta through the abdomen or cervix and tested for genetic defects.

It is a screening test for high risk pregnancies i.e. pregnancy in older women to check for downs syndrome or other chromosomal abnormalities; it also helps in screening those who have a family history of an inherited condition. Chorionic villous sampling is carried out between 10 and 13 weeks of pregnancy is not recommended earlier than this. This screening test however has some risk involved. There’s the risk of miscarriage in 2% of cases, maternal infection can also occur, the procedure may be a failure in 5% of cases, the mother may be sensitized if she has a different rhesus blood type from her baby, limb abnormalities such as missing or short fingers have also been named as a complication.

Besides the risk involved in the procedure, being told that a needle would be inserted into your tummy itself carries its own risk psychologically, the anxiety when waiting for the result to find out if your baby will be abnormal can only be imagined as this is a risk to the mother as well but is it right to deny pregnant women a chance of finding out if their baby would be abnormal because of risk? Or for pregnant women to go through the pain of a risky procedure for their own benefit?

 

 

Source:   http://www.nhs.uk/Conditions/Chorionic-Villus-sampling/Pages/Risks.aspx

In reply to Deleted user

Re: chorionic villous sampling- Risk or benefit

by Sara Shaw -

Its interesting that the source you've cited gives some information about potential physical harms, but nothing about e.g. potential anxiety for parents. It frames risk in a particular way.

The point about abnormality is also interesting. I wonder if this reflects wider societal expectations about what a 'good' or 'normal' pregancy is? Screening for risks might then carry expectations about what parents should do if results are positive?

In reply to Deleted user

Re: chorionic villous sampling- Risk or benefit

by Samuel Dafydd Rigby -

This is an interesting example as the risks are outlined on the NHS page but it also has a twist in the sense that CVS is depicted to have advantage over its less dangerous alternative amniocentesis because it may allow voluntary abortion on negative results as it is quicker (<20weeks gestation). This promotes a rush in decision making, as those who have to make this decsion often will not have so much  time. A similar technique to that used by salesman e.g.'sale ends sunday'. Is this screening option over utilised (considering risk:benefit)  for these reasons?

In reply to Deleted user

Re: chorionic villous sampling- Risk or benefit

by Ahmed Al-Nowfal -

i think the main screen methods for pregnant woman for example in down sydrome are the triple or quadruple test, with the combination of routine test like nuchal translucency. As they screen non-invasive and do not carry a risk. Cvs is a diagnostic test offered to mothers who want to know for sure and is not recommended to those who want to progress with the pregnancy. Due to the infection and miscarriage risk being so high I don't think if will be a good 'screening test' . If offered to all pregnant women it will cause 14000 miscarriages al  and 35000 infections