Chorionic villus sampling for first-trimester Prenatal diagnosis: Northwestern University Program

We present our initial experience in developing a chorionic villus sampling program at Northwestern University. In phase 1, we performed chorionic villus sampling in 58 patients prior to elective first-trimester abortion, assessing the reliability and reproducibility of obtaining adequate villus sam...

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Veröffentlicht in:American journal of obstetrics and gynecology 1985-05, Vol.152 (2), p.204-213
Hauptverfasser: Elias, Sherman, Simpson, Joe Leigh, Martin, Alice O., Sabbagha, Rudy E., Gerbie, Albert B., Keith, Louis G.
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container_end_page 213
container_issue 2
container_start_page 204
container_title American journal of obstetrics and gynecology
container_volume 152
creator Elias, Sherman
Simpson, Joe Leigh
Martin, Alice O.
Sabbagha, Rudy E.
Gerbie, Albert B.
Keith, Louis G.
description We present our initial experience in developing a chorionic villus sampling program at Northwestern University. In phase 1, we performed chorionic villus sampling in 58 patients prior to elective first-trimester abortion, assessing the reliability and reproducibility of obtaining adequate villus samples and performing cytogenetic analysis by means of both the direct and culture methods. Specimens were categorized according to quality: class I, multiple identifiable villi (n = 20); class II, few villi or villi mixed with decidua (n = 15); class III, no villi (n = 23). There was a positive trend between operator experience, amount of villi obtained, and quality of cytogenetic preparations. In March, 1984, we received Institutional Review Board approval to perform chorionic villus sampling in continuing pregnancies (phase 2). Among the first 20 cases we found two abnormalities (47,XY, + 13; 45,X). The remaining 18 pregnancies were continuing. Recommendations are made for developing a chorionic villus sampling program.
doi_str_mv 10.1016/S0002-9378(85)80023-5
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subjects Adolescent
Adult
Catheterization - methods
Cells, Cultured
Chorionic Villi - cytology
Chorionic villus sampling
Chromosome Aberrations - diagnosis
Chromosome Banding
Chromosome Disorders
Female
Genetic Testing - methods
genetics
Humans
Pregnancy
Pregnancy Trimester, First
prenatal diagnosis
Prenatal Diagnosis - methods
Risk
Ultrasonography - methods
title Chorionic villus sampling for first-trimester Prenatal diagnosis: Northwestern University Program
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