Amniocentesis and chorionic villus sampling in twin gestations: which is the best sampling technique?

Am J Obstet Gynecol. 2010 Apr;202(4):365.e1-5. doi: 10.1016/j.ajog.2009.11.016. Epub 2010 Jan 13.

Abstract

Objective: To compare the fetal loss rate <24 weeks and the preterm premature rupture of the membranes <34 weeks' gestation according to type of invasive procedure and to sampling techniques in twins.

Study design: Retrospective cohort study of 204 twin pregnancies, who underwent amniocentesis (100) or chorionic villus sampling (104).

Results: Fetal loss rate <4 weeks was 3.85% in chorionic villus sampling group and 4.00% in amniocentesis group (P value not significant). According to sampling technique, fetal loss rate was 4.17% (chorionic villus sampling 1 puncture), 2.70% (amniocentesis 1 puncture), 3.75% (chorionic villus sampling 2 punctures), and 4.76% (amniocentesis 2 punctures), (P values not significant). Preterm premature rupture of the membranes rate <34 weeks was 8.2% chorionic villus sampling group and 10% in amniocentesis group (P value not significant). According to sampling technique, preterm premature rupture of the membranes rate was 12.5% (chorionic villus sampling 1 puncture), 8.1% (amniocentesis 1 puncture), 6.9% (chorionic villus sampling 2 punctures), and 11.1 % (amniocentesis 2 punctures), (P values not significant).

Conclusion: Double entry technique does not affect significantly the outcomes evaluated, in both amniocentesis and chorionic villus sampling.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Amniocentesis / adverse effects
  • Amniocentesis / statistics & numerical data*
  • Chorionic Villi Sampling / adverse effects
  • Chorionic Villi Sampling / statistics & numerical data*
  • Cohort Studies
  • Female
  • Fetal Death / epidemiology*
  • Fetal Membranes, Premature Rupture / epidemiology*
  • Humans
  • Kaplan-Meier Estimate
  • Pregnancy
  • Pregnancy Trimester, First
  • Pregnancy Trimester, Second
  • Retrospective Studies
  • Twins*