How It Is Done
Chorionic villus sampling is most
commonly done by a
perinatologist in the doctor's office or the hospital.
An overnight stay in the hospital usually is not needed unless problems occur
during the procedure.
Transabdominal (through the belly) CVS
sampling or transcervical (through the
cervix) CVS sampling can be done. The choice may
depend on where the fetus and placenta are in the uterus.
Through the belly (transabdominal)
You will lie
on your back on an examination table with your belly bare.
Gel or
oil will be rubbed on your belly to use with the ultrasound unit. An ultrasound
device (transducer) that gives off and picks up sound waves will be passed over
your belly. The reflected sound waves are sent to a computer to make a picture
of the
uterus, your baby, and the placenta on a TV screen.
Your doctor or an ultrasound technician will look at the picture on the screen
to help guide the needle used to collect a sample of the chorionic villus. Your
baby's heart rate can also be checked during the procedure using ultrasound.
For more information, see the medical test
Fetal Ultrasound.
Your skin where the
needle will be put in is cleaned with alcohol and numbed with a medicine. Your
doctor then puts a long thin needle through your belly and uterus to the
placenta and collects a sample of the chorionic villus cells.
After the sample is collected, your doctor may listen to your baby's heart rate
and check your blood pressure, pulse, and breathing.
Through the cervix (transcervical)
You will be
asked to take off your clothes below the waist and drape covering around your
waist. You will then lie on your back on an examination table with your feet
raised and supported by stirrups. This allows your doctor to look at your
genital area.
Your doctor will put an instrument with curved sides
(speculum) into your vagina. The speculum gently spreads apart the vaginal
walls, allowing the inside of the vagina and the cervix to be seen. The cervix
will be cleaned with a special soap.
An ultrasound will be used to
help your doctor guide the catheter through your cervix to the placenta. An
ultrasound device (transducer) that gives off and picks up sound waves will be
passed over your belly. The reflected sound waves are sent to a computer to
make a picture of the uterus, your baby, and the placenta on a TV screen. Your
baby's heart rate can also be checked during the procedure using ultrasound.
For more information, see the medical test
Fetal Ultrasound.
When the catheter is
correctly placed, a sample of chorionic villus cells will be collected.
After the sample is collected, your doctor may listen to your baby's
heart rate and check your blood pressure, pulse, and breathing.