scholarly journals OP12.10: Pregnancy loss following chorionic villus sampling or amniocentesis in twin pregnancies: two decades in a UK tertiary fetal medicine centre

2019 ◽  
Vol 54 (S1) ◽  
pp. 126-126
Author(s):  
K. Navaratnam ◽  
D. Albloushi ◽  
Z. Alfirevic ◽  
A. Sharp
Keyword(s):  
Pregnancy Loss ◽  
Chorionic Villus ◽  
Chorionic Villus Sampling ◽  
Fetal Medicine ◽  
Twin Pregnancies

Chorionic Villus Sampling in Assisted Versus Spontaneous Conception Twins

2015 ◽  
Vol 38 (04) ◽  
pp. 437-442 ◽  
Author(s):  
Georgios Daskalakis ◽  
Panagiotis Antsaklis ◽  
Kleanthi Gourounti ◽  
Mariana Theodora ◽  
Michail Sindos ◽  
...  
Keyword(s):  
Pregnancy Loss ◽  
Loss Rate ◽  
Chorionic Villus ◽  
Control Group ◽  
Chorionic Villus Sampling ◽  
Fetal Medicine ◽  
Spontaneous Conception ◽  
Assisted Reproduction Technology ◽  
Tertiary Center ◽  
Twin Pregnancies

Abstract Purpose To compare the outcome of chorionic villus sampling (CVS) in twin pregnancies following assisted reproduction technology (ART) versus twins that have been conceived spontaneously. Materials and Methods Retrospective analysis of dichorionic twin pregnancies that underwent CVS between 1986 and 2013 at our department which is a tertiary center for fetal medicine. 32 twin pregnancies after ART and 130 spontaneously conceived twin pregnancies, which underwent CVS, were analyzed. Results No difference was observed in the pregnancy loss rate between the two groups (0 % in the ART group vs. 3 % in the spontaneous twins group). The rate of preterm delivery before 28 weeks was higher in the ART group (18.8 %) compared to the control group (1.6 %). The perinatal mortality rate was similar in the two groups. Conclusion The pregnancy loss rate following CVS is similar in ART twins and in spontaneous twins. However, the risk of prematurity before 28 weeks is significantly higher in the ART group.

Fetal loss after chorionic villus sampling in twin pregnancies

2021 ◽  
Author(s):  
T. Elger ◽  
R. Akolekar ◽  
A. Syngelaki ◽  
C. De Paco Matallana ◽  
F. S. Molina ◽  
...  
Keyword(s):  
Chorionic Villus ◽  
Fetal Loss ◽  
Chorionic Villus Sampling ◽  
Twin Pregnancies

Consensus on Training and Assessment of Competence in Performing Chorionic Villus Sampling and Amniocentesis: An International Delphi Survey

2021 ◽  
pp. 1-18
Author(s):  
Vilma Johnsson ◽  
Martin Tolsgaard ◽  
Jon Hyett ◽  
Ulrich Gembruch ◽  
Rory Windrim ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Chorionic Villus ◽  
Steering Committee ◽  
Chorionic Villus Sampling ◽  
Fetal Medicine ◽  
Nontechnical Skills ◽  
Post Procedure ◽  
Competency Based ◽  
Overall Performance ◽  
Assessment Of Competence

<b><i>Introduction:</i></b> The aim of this study was to obtain expert consensus on the content of a curriculum for learning chorionic villus sampling (CVS) and amniocentesis (AC) and the items of an assessment tool to evaluate CVS and AC competence. <b><i>Methods:</i></b> We used a 3-round iterative Delphi process. A steering committee supervised all processes. Seven international collaborators were identified to expand the breadth of the study internationally. The collaborators invited fetal medicine experts to participate as panelists. In the first round, the panelists suggested content for a CVS/AC curriculum and an assessment tool. The steering committee organized and condensed the suggested items and presented them to the panelists in round 2. In the second round, the panelists rated and commented on the suggested items. The results were processed by the steering committee and presented to the panelists in the third round, where final consensus was obtained. Consensus was defined as support by more than 80% of the panelists for an item. <b><i>Results:</i></b> Eighty-six experts agreed to participate in the study. The panelists represented 16 countries across 4 continents. The final list of curricular content included 12 theoretical and practical items. The final assessment tool included 11 items, systematically divided into 5 categories: pre-procedure, procedure, post-procedure, nontechnical skills, and overall performance. These items were provided with behavioral scale anchors to rate performance, and an entrustment scale was used for the final overall assessment. <b><i>Conclusion:</i></b> We established consensus among international fetal medicine experts on content to be included in a CVS/AC curriculum and on an assessment tool to evaluate CVS/AC skills. These results are important to help transition current training and assessment methods from a time- and volume-based approach to a competency-based approach which is a key step in improving patient safety and outcomes for the 2 most common invasive procedures in fetal medicine.

Sign in / Sign up

Export Citation Format

Share Document