Myoma is treated or not. What is uterine fibroids (symptoms and treatment). Symptoms of uterine fibroids in the early stages

Everyone wants to have healthy children. Of course, not everything is in the hands of a person, but, nevertheless, it is currently real before the birth of a child, for enough early dates, with a guarantee of almost 100% to find out if the child has chromosomal abnormalities, in other words, whether he has a normal karyotype.

Karyotype- a set of features (number, size, shape, etc.) of a complete set of chromosomes, inherent in the cells of a given biological species.

Normal human karyotypes - 46,XY (male) And 46.XX (female). In cases where a child has chromosomal abnormalities, his karyotype will be different.

So, the most famous chromosomal anomalies - Down syndrome (three 21st chromosomes) correspond to the karyotype 47,XY, 21+ or 47,XX, 21+, Edwards syndrome (three 18th chromosomes) corresponds to the karyotype 47,XY, 18+ or 47,XX, 18+, etc.

The severity of the consequences for the health of the child with different anomalies is also different - there are both severe anomalies that simply lead to arbitrary termination of pregnancy in the early stages, and relatively "light" and "viable" ones - for example, Down's syndrome.

It is worth noting that chromosomal diseases do not depend in any way on the lifestyle of parents - these are mutations that occur spontaneously and predict them no way(with the exception of a very small percentage (3-5%) of chromosomal abnormalities, which are inherited and usually known in the genus).

That is why, healthy lifestyle life and the absence of relatives with chromosomal diseases, for example, in no way does not guarantee the absence of an anomaly in the unborn child in this particular family.

There are several methods to find out in advance, during pregnancy, whether the child has a chromosomal abnormality. I, for the reasons described below, chose for myself chorion biopsy. main reason- 99% guarantee of the accuracy of the result.

Chorionic villus biopsy- obtaining a tissue sample of the chorion (future placenta) in order to identify chromosomal diseases and carriage of chromosomal abnormalities. The chorion tissue basically has the same genetic structure, as the fetus, therefore suitable for genetic diagnosis.

Obtaining chorion tissue is carried out by puncture of the uterus through the anterior abdominal wall with a catheter.

Why chorion biopsy, if it is so accurate, is it not prescribed to all pregnant women in a row? Because this is an invasive method (material sampling is required) and it has a certain percentage of complications - the likelihood of abortion: before 2% .

In Russia, pregnant women are required to undergo only prenatal screening, which consists of ultrasound and a blood test for hormones: hCG and PAPP-A. Neither the results of ultrasound nor hormones provide a basis for diagnosing chromosomal disorders in a child. They only show risk, that is, the likelihood of these violations.

But in practice, there can be an ideal ultrasound and an ideal blood test - and a sick child is born. And, on the contrary, according to ultrasound and blood, everything is bad - and the child has a normal karyotype. The frequency of errors and inconsistencies is so high that I would put classical prenatal screening on a par with fortune telling on coffee grounds and weather forecasting.

But, since one of the features of a Russian person is the hope for a chance, multiplied by scary stories about a mandatory miscarriage after a puncture of the abdomen and the stories of girlfriends who have already given birth to healthy children that: “Are you dangerous, don’t even think about a puncture, you see, everything is fine with me (Masha, Dasha, Glasha)" - all this only leads to the fact that women are afraid of invasive diagnostics like fire and write refusals all the time, even after receiving poor results of prenatal screening.

In my first pregnancy, I did not do invasive diagnostics - I was young and stupid. I was lucky - everything is fine with the chromosomes in the child (the blood screening was, by the way, bad and I refused to have a puncture at the geneticist). However, having brewed in the children's topic, looking at deeply ill children, at a familiar 21-year-old girl who gave birth to a son with Down syndrome with good screening, and having matured, I came to the second pregnancy with a firm thought about what I would do chorion biopsy in any arrangement. Of course, it is impossible to protect a child from everything, but, nevertheless, it is quite possible to exclude a breakdown in his chromosomes. And it is within my power.

Here it is worth noting that the reaction to my desire to voluntarily make chorion biopsy, or those who learned about it after the procedure of a variety of doctors, ranging from a gynecologist to a geneticist and sonographers, was absolutely identical. First, a surprised face, then they asked me again "Voluntarily??", And then followed by praise for the responsibility and recognition that either the doctor himself, or his wife / daughter, and all colleagues did this procedure to themselves during pregnancy absolutely without any testimony, if desired. And here doctors can be understood - they do not have rose-colored glasses, they have seen and heard a lot, alas.

But, closer to the procedure itself chorion biopsy. After visiting a geneticist, I received a list of tests that need to be passed:

In terms of preparation: two days before the puncture, insert papaverine at night. On the advice of a gynecologist, I inserted it during three days after the procedure. My obstetric period on the day of the procedure was 13 weeks ( chorion biopsy do up to 14 weeks).

On the appointed day, I came to the clinic in the morning, took myself a ward for the day. This is important - after the puncture, you need to lie down, everything should be in a very calm, snail mode.

After signing the papers, I went up to the office. Actually, the procedure itself is done by two doctors: an ultrasound specialist and a doctor of functional diagnostics, who takes the material. I stripped down to the waist and lay down on the table. The sonographer found the child with a sensor, and together with the second doctor, they determined the place where the needle should be inserted. After that, I was given an anesthetic injection in the stomach (it didn’t hurt, but I didn’t understand the effect from it either).

After waiting for the injection to take effect, the child was again found with an ultrasound probe, and the second doctor began to insert the needle into the lower abdomen and draw material into the syringe. Everything is under continuous ultrasound control. It lasted 15-20 seconds, and it was painful, more painful than a regular injection, but nevertheless it ended quickly enough. After that, the child's heartbeat was again monitored with an ultrasound sensor, the stomach was sealed with a band-aid and sent to rest in the ward.

The stomach sipped, as during menstruation, released somewhere in half an hour. I added papaverine. Exactly an hour later, I went to the control ultrasound, which showed that everything was fine with the child, and went back to the ward to lie down until the evening. Having slept off, having removed a band-aid, by the evening I have gone home. Remained small footprint, as from an injection, healed quickly.

Then, of course, there was a week of waiting for the results and, finally, a call from the geneticist: you have a healthy boy. You can breathe out.

So, the reasons why I decided to do chorion biopsy:

• A genetic analysis of the fetus itself (the chorion - the future placenta) is carried out, and not the hormones in the mother's blood. This is similar to the fact that a person who has already been born takes an analysis of his karyotype. Reliability 99%.
• Invasive methods are our last resort. In the event that the ultrasound and prenatal screening data are very poor, an invasive diagnosis is still first made for confirmation before terminating the pregnancy.
• There is an analogue chorion biopsy- a non-invasive test where the baby's DNA is taken from the mother's blood. But, in case of a bad result, the pregnancy will not be terminated, but, again, an invasive diagnosis will be offered for confirmation. In addition, the cost of a non-invasive test is currently very high (in our city from 40,000), and the guarantee is still less than that of chorion biopsy.
• As for the risk of spontaneous termination of pregnancy after a biopsy of 2%. Here my personal opinion is this: if after chorion biopsy a miscarriage occurred - this is a matter of fetal viability. Most likely, the interruption would have happened.

UPDATE. I had no complications after the chorionic villus biopsy. At term 38+5 she gave birth to a healthy boy weighing almost 4 kg (planned CS).

● ● ● ● ● ● ● ● Sincerely, Lisia ● ● ● ● ● ● ● ●

P.S. My thoughts on pregnancy and conception:

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Unfortunately, not every expectant mother easily and without complications endures pregnancy. Various factors are to blame for this: natural changes in the body, the occurrence of abnormalities in the child in the womb, the development of hereditary pathologies, etc. Regular examinations by a gynecologist and ultrasound examinations should accompany the entire period of bearing a child, and in the case of the first alarm bells, additional , deeper analyzes and procedures. These include chorionic villus sampling.

What is chorionbiopsy

Chorionic biopsy (or placentopuncture) refers to one of the methods for diagnosing fetal diseases. During this procedure, a small piece of the chorion (placenta), which is closest to the uterus, is removed for analysis.

Transabdominal procedure

The material under study bears full genetic information any fetal abnormalities. So, you can determine whether the baby has Down syndrome, Edwards syndrome, cystic fibrosis, and more than 100 chromosomal and genetic failures.

This procedure is prescribed for those pregnant women whose examinations have revealed an increased risk of having a baby with genetic or chromosomal abnormalities. It is carried out in the early stages - at 8-12 weeks of pregnancy.

Indications for carrying out

A biopsy of the chorionic villi is performed according to the following indications:

• the age of a pregnant woman is more than 35 years (there is a risk of developing mutations);
• detection of fetal pathologies during ultrasound examination;
• the presence of consanguinity with the husband (father of the child);
• detection of hereditary diseases or malformations in future parents;
• the presence of diseases transmitted by inheritance in the next of kin;
• it is necessary to determine the sex of the unborn baby;
• the presence of children with hereditary diseases;
• miscarriages, stillbirths, or history of infertility;
• X-ray irradiation at an early stage;
• taking toxic drugs early.

Contraindications

Contraindications for placental puncture are:

• risk of miscarriage;
• inflammatory processes in the genitourinary system;
• increased tone of the uterus.

Biopsy procedure

Most often, a chorionic villus biopsy is done without anesthesia or anesthesia. Pregnant women feel slight discomfort. It is very important to do an ultrasound before the examination. It will indicate the heartbeat of the fetus, determine the duration of pregnancy, show the tone of the uterus, and determine the length of the cervical canal.

Doctors recommend drinking water before CVS, because filled bladder improves the visualization of the picture on the monitor. The study takes half an hour. Thanks to the operation of the ultrasonic sensor, the procedure is gently performed with thin forceps through the cervical canal or with needles through the abdominal wall. The vagina and uterus will be treated with an antiseptic, and the skin of the abdomen with an alcohol or iodine solution. Which method to use is determined by the doctor based on the health indicators of the woman and the fetus. More often they resort to transabdominal biopsy (through the anterior wall of the abdominal cavity).

Schemes for conducting various invasive studies, in particular chorionic villus biopsy

The necessary material for the study is withdrawn in a volume of at least 5 mg. If the material was not enough, the doctor may prescribe a second study. But a third attempt increases the risk of complications and may cause a miscarriage.

After the procedure, it is necessary to spend the day at home, excluding physical and psychological stress. The next few days you can not lift weights and have sex. Air travel and long trips should also be avoided. Bed rest is recommended.

You may experience abdominal cramps, but this will pass quickly.

The results will be ready within two weeks, depending on the purpose of the study. Preliminary analyzes can be found in 2 days. If the result is negative, then everything is in order, the child is healthy. If studies have revealed deviations in the development of the fetus, then it is worth thinking about its future fate.

Analyzes are not always accurate, for example, instead of a sick baby in all respects, a healthy baby is born and vice versa. However, the errors in the chorion biopsy are insignificant, the accuracy of the analyzes is 99%.

After the CVS procedure, various complications are possible: from mild malaise to spontaneous abortion. It is likely that there will be light spotting, which will stop with time. A hematoma may form at the placenta collection site, which resolves safely without risk to the fetus by the 16th week. IN rare cases the integrity of the membranes is broken. If the uterus is poorly processed, then an infection can be introduced. Miscarriages occur in only 0.4% of women. But if the procedure was performed by an unqualified doctor, then the risk of spontaneous abortion increases.

Conducting CVS (video)

Ignoring Research

If the doctor has prescribed you a chorionbiopsy, then you should not ignore his words. Indeed, thanks to the studies carried out, it is possible to detect the development of pathology in the fetus in time. Otherwise, the baby is at risk, because doctors do not know about the alleged deviations. At the most inopportune moment, premature labor can begin, and you may have to give birth in a hospital where the neonatal intensive care unit is poorly equipped. The birth of a baby with any defect or disease becomes ordeal for mentally unprepared parents.

Chorionic fiber biopsy or amniocentesis?

There is a similar procedure called amniocentesis, in which the doctor takes a sample of amniotic fluid with a special needle.

There is a similar procedure - amniocentesis - which is performed in the second trimester of pregnancy (16-18 weeks). In the process, the doctor takes a sample of amniotic fluid through the abdominal cavity in the uterus with a special needle. Results are expected in about 3 weeks. Amniocentesis is not a complicated procedure, it is performed in any average clinic. The risk of miscarriage is lower than after chorionic fiber biopsy. Amniocentesis helps to identify and recognize diseases that CVS cannot detect (for example, spina bifida).

Where can I do the procedure, cost and reviews

The CVS procedure can be done in certain medical and gynecological centers that are equipped with necessary equipment and laboratory. A biopsy is a technically difficult procedure, it can only be entrusted to an experienced specialist, since inaccurate movements or non-observance of sterility are fraught with various complications for the patient. On the forums you can read a huge number of reviews about CVS, many of them negative. Some women are afraid to carry out such an unusual procedure, others are afraid of spontaneous abortions, others do not want to know that something is wrong with the child, the rest just want to give birth to a baby, and it doesn’t matter if he is healthy or not.

The cost of placental puncture in medical centers starts at 10,000 rubles, but it is better to be examined in the best clinics where the examination is carried out on highest level. The price will then be higher.

What are chorionic villi (video)

To do CVS or not is unequivocally up to future parents, since they are responsible for the life and health of the future child. But both doctors and women who have given birth note that this procedure is necessary. It's nice to know that from the first days everything will be fine with the child.

Pregnancy is a special period in the life of any woman. Regular examinations help to understand that something begins to go wrong during the bearing of a child. A number of studies are mandatory for everyone, but there are also those that are prescribed individually, and a pregnant woman may refuse them. Optional studies include chorion biopsy. As a rule, such medical manipulation is very scary for expectant mothers. What is it? How long is it done? And is it worth it to be afraid of such a procedure?

Chorionic villus biopsy (VVS) is a test that allows you to obtain a sample of placental protrusions containing the same chromosome set as the embryo. Further study of the biomaterial makes it possible to find out at the chromosomal level the composition of the nuclei of the fetal cells without affecting the fetus itself. Unfortunately, this procedure cannot be attributed to completely safe medical manipulations. In addition, this is a rather expensive study.

Indications and contraindications for

Chorionic villus biopsy is indicated in such cases:

• Age pregnant from 35 years. The older age of the parents increases the risk of the child developing Down syndrome and other genetic pathologies.
• Ultrasound examination revealed pathologies of fetal development.
• The child's father is a blood relative future mother.
• Both or one of the parents had hereditary diseases and developmental pathologies.
• Serious hereditary diseases were found in the next of kin.
• The family already has children with defects at the chromosomal level.
• A pregnant woman has a history of miscarriage, stillbirth, and infertility.
• If a woman in the first trimester of pregnancy received a serious dose of X-ray radiation.
• In the early stages of pregnancy, a woman took drugs with an embryotoxic effect.
• The need to determine the sex of the child.

A chorion biopsy is not done under such conditions:

• a serious threat of miscarriage has been identified;
• there are inflammatory processes in the genitourinary system;
• multiple uterine fibroids with a predominant location of nodes on the anterior wall;
• uterine hypertonicity.

This procedure is prescribed for those pregnant women who, with other diagnostic methods, have been found to have an increased risk of having a child with genetic or chromosomal pathologies. The procedure is carried out in the first trimester. Not earlier than 8 weeks and not later than 12.

How is the procedure

In most cases, a chorionic villus biopsy is done without the use of anesthesia and painkillers. In the process, pregnant women experience mild discomfort. Before such an examination, an ultrasound is prescribed. It allows you to clarify the gestational age, check the fetal heartbeat, exclude uterine hypertonicity and determine the length of the cervical canal.

If a pregnant woman has a negative Rh factor, then after a biopsy she is given a special drug that will prevent an immune conflict between the woman's body and the body of the unborn child

Pregnant women are advised to drink enough water before a chorionic villus biopsy, thereby filling the bladder in order to improve the visualization of the picture on the monitor. On average, the whole process takes no more than 30 minutes.

Under ultrasound control, the specialist carefully performs the procedure using thin forceps through the cervical canal or transabdominally. More often they resort to the second option through the anterior wall of the abdominal cavity. However, everything is individual and decisive are the vital signs of the pregnant woman and the gestating fetus.

In order to avoid the attachment of a secondary infection, the vagina and uterus will be treated with a special antiseptic, and the skin of the abdomen with an alcohol or iodine solution. For a complete analysis, at least 5 mg of the biopsy must be extracted. If there is not enough biological material, a second biopsy may be necessary, but each new attempt increases the risk of miscarriage.

In addition to this, another procedure is practiced, which involves taking a sample of amniotic fluid - amniocentesis. It is carried out after the 16th week of pregnancy. The risk of miscarriage after this procedure is significantly lower than with CVS, and with individual deviations it is even more informative.

Consequences and complications

After the biopsy, bed rest is recommended on the first day. In the coming days, physical and emotional stress should be excluded. You can not lift weights and have physical intimacy with a man. During the week it is better to give up travel and a sharp change in climate.

The most common complications are:

• A hematoma may form at the site of the biopsy, but it resolves on its own by week 16 and does not pose a risk to the child.
• IN individual cases the integrity of the fetal bladder may be violated.
• With poor antiseptic treatment, a secondary infection may join.
• Weak ones appear bloody issues which stop on their own after some time.
• Abdominal cramps that go away after a few days.

The consequences after the procedure can be in the form of a slight malaise, and a miscarriage may even occur. Although, of course, the risk of spontaneous abortion is only 0.4% and largely depends on the qualifications of the specialist who performed the biomaterial sampling.

results

The timing of the preparation of the results of the analysis may vary within 14 days. Laboratory staff can make preliminary results within 2 days. For insurance, a more detailed chromosomal response is obtained after two weeks.

Analyzes are not always reliable. There were cases when parents were assured that their child was sick in all respects, but a completely healthy baby was born, but there were also reverse cases. However, errors in CVS are usually insignificant, and in most cases the accuracy of analyzes is 99%.

A pregnant woman may refuse to undergo CVS if the results of the analysis do not affect her decision to become a mother in any way

Not every pregnancy goes well. The reaction of the body to natural changes, deviations in the development of the child, hereditary pathologies - all this can cause possible complications. In such cases, the entire period of bearing a child is carried out under the strict supervision of doctors, accompanied by additional tests and procedures. Among them is a biopsy of chorionic villi.

What is chorionic villus sampling and how is it different from amniocentesis?

Chorion is outer shell embryo, covered with villi. By about 12-14 weeks of the term, the chorion is converted into the placenta. The villi of this organ provide respiration, nutrition and protection of the embryo.

Chorionic villus biopsy(CVD) in prenatal diagnosis is a research procedure aimed at identifying possible genetic and chromosomal diseases and other abnormalities, known to science. Chorionic biopsy is an invasive method, as it is associated with penetration into the body.

Unlike another similar procedure, amniocentesis(a study at 16-18 weeks of amniotic fluid taken by puncture), the timing of the chorionic villus biopsy is earlier - at 10-13 weeks. Analysis is allowed at 7-9 and at 17-19 weeks. After a biopsy, the results are ready in a few days, when, as with amniocentesis, they are waiting for 2-3 weeks.

The disadvantages of chorionic villus biopsy compared with amniocentesis include the inability to detect pathologies of spina bifida and placental mosaicism. In addition, a chorionic villus biopsy can provoke spontaneous abortion.

In what cases is research carried out

A chorionic villus biopsy is not a common test that is prescribed to all expectant mothers. It is not carried out out of curiosity to find out the sex of the unborn baby or to take a paternity test. The study is carried out in the case of appropriate indications, when there are suspicions of deviations in the development of the fetus. The decision to perform a chorionic biopsy is made on a commission basis, and the procedure itself is carried out with the consent of the patient.

Chorionic villus biopsy is indicated for the following categories of pregnant women:

• poor first screening results for serum markers;
• age over 35 years - the risk of developing gene mutations increases;
• the results of the ultrasound showed the presence of possible deviations in the development of the baby;
• the presence of hereditary diseases in the family;
• if the family has already had a case of the birth of a child (even if there was a miscarriage or stillborn children) with deviations;
• if a man has children with genetic diseases;
• consanguinity with a spouse;
• living in radiation conditions;
• exposure to x-rays or poisoning with toxic agents in the early stages.

Contraindications

But no matter how serious the indications for the procedure are, for some women it is strictly prohibited.

Do not perform a biopsy if:

• the threat of miscarriage;
• increased tone of the uterus;
• inflammatory processes of the genital organs;
• a positive result for HIV infection - in this case, infection of the child may occur.

Description of the procedure, causes and risks must be discussed with the patient. The expectant mother should learn as early as possible about the possible diagnosis of the baby in order to prepare psychologically for his birth. Identification of contraindications before the procedure - mandatory step which reduces the risk of complications.

What is the danger of the procedure

The process of chorionbiopsy itself is not dangerous. Before the procedure for piercing the abdomen, the patient is given anesthesia. As women who have undergone CVS say, it is not painful, but unpleasant. According to their reviews, the sensations are similar to the feelings experienced during blood sampling from a vein.

With chorionbiopsy from the cervix, the patient feels as if she is taking a gynecological smear.

The danger of the procedure lies in its consequences, which will be discussed later.

How informative is chorionbiopsy

According to statistics, the effectiveness of chorionbiopsy is 99%. The test with such a probability determines the absence or presence of deviations, however, the study does not show the severity of their development. An erroneous or inaccurate result is given in the case of probable placental mosaicism, which this procedure does not reveal. If placental pathology is suspected for more than later dates the patient is subjected to a deeper study - amniocentesis or cordocentesis.

In some cases, an incorrect diagnosis is made as a result of a simple human factor: doctors can make mistakes. And some laboratories are not equipped with the necessary equipment to deliver the result with reliable accuracy. Therefore, when choosing a laboratory, you need to pay attention to the professionalism of the doctor and technical equipment.

A biopsy is usually carried out at the Centers for Family Planning and Reproduction (CPSIR), Republican Clinical Hospitals (RCH), Scientific Centers major cities and private clinics.

Naturally, the cost of chorionbiopsy is quite high, and not all clinics have the appropriate laboratories.

Prices in Moscow on average range from 9,000 to 45,000 rubles. How much you need to pay for taking a fence depends on the region of Russia, for example, in Saratov, chorionbiopsy will cost 5,000 rubles and more. In Kazan, such a service is provided by private clinics costing from 12,000 rubles.

How is a chorionic villus biopsy performed?

Chorionic biopsy - taking a tissue sample, carried out in two ways:

1. transabdominal way. The procedure is performed by inserting a needle into the abdominal cavity. The needle sucks up a piece of tissue, which is taken for analysis.
2. transcervical access. A special tube is inserted into the cervical canal, that is, the cervix.

Regardless of which method is used when taking a genetic sample, at the same time the patient is given an ultrasound in order to reliably know where to point the needle. The method of taking the analysis depends on the individual characteristics of the pregnant woman, on the location of the placenta.

The sampling of biological tissues takes an average of half an hour. The doctor needs to take at least 5 mg of the sample for analysis, which is not the first time.

Before a chorionbiopsy, a woman needs to undergo some preparation: it is not recommended to empty the bladder in order to see the location of the fetus.

It is necessary to pass the following tests:

• blood tests for HIV, syphilis, hepatitis;
• results of microscopy of vaginal smears;
• general urine and blood tests.

The results of blood tests for antibody titer with a negative Rh factor should also be provided. If antibodies are present in the woman's blood, then she is additionally given an anti-Rhesus immunoglobulin vaccine to avoid Rh sensitization.

When will the results be ready

The results of a chorionbiopsy are on average ready in 7-10 days. Laboratories with more modern equipment can conduct the test faster, and the results will have to wait within two days.

All this time, the biological material is multiplied in special conditions in isolation in an incubator. Analysis of the obtained cells shows the presence or absence of certain abnormalities in the development of the fetus with an accuracy of 99%.

There are cases when tissues lose their viability, and it becomes necessary to re-analyze.

Results are required to:

1. Make a decision to continue the pregnancy.
2. Decide on the birthplace of a special baby.
3. Decide on the nature of childbirth: natural or caesarean section.

Possible risks of the procedure

The study carries certain risks, both for the fetus and for the mother.

After the sampling of biological material, the following consequences are possible:

• spontaneous abortion during the first trimester of pregnancy (1-2%);
• uterine bleeding at the needle puncture site (0.5%);
• infection of the fetus when working with non-sterile instruments (0.5%);
• detachment of the fetal egg (such cases in medical practice rarely happened - 0.1%).

Complications may also occur in the later stages: premature birth and the birth of a child with a small weight, less than 2500 kg.

Unfortunately, having learned about the consequences, few couples agree to the sampling, and few agree to keep the pregnancy. One way or another, only the expectant mother should make the decision.

What to do after chorionbiopsy

The rest of the day when the chorionbiopsy was performed should be spent in complete rest. A working woman needs to take a day off. After the procedure, 2-3 days is not recommended to conduct intimate life, lifting heavy objects, walking a lot, traveling and flying.

After taking the analysis, some symptoms may appear:

• mild spotting;
• excretion of amniotic fluid (leakage);
• pain in the lower abdomen, similar to contractions.

The duration of symptoms is 1-2 days. Manifestations are moderate or weak. If pain and bleeding or watery discharge becomes profuse, you should consult a gynecologist. Perhaps there was a threat of miscarriage.

Do I need to undergo a chorionic villus biopsy - pros and cons

Knowing about possible consequences, it is very difficult for a mother to decide on a biopsy of the chorionic villi. It is also important to remember that if such an analysis is prescribed, this does not mean that the child is developing with deviations. In this case, it is advisable to carry out BVS in order to confirm that everything is in order with the health of the baby and that the pregnancy will continue to proceed safely.

Some women are not ready to raise a sick child, then the test should confirm that the child is really developing abnormally. In this case, the decision to terminate the pregnancy is better made in the early stages, which significantly reduces the risk of complications. But the accuracy of the results of 99% is not 100%, so there is a small chance that the diagnosis is erroneous. In such cases, additional examinations are prescribed.

If a woman decides to give birth to a child, despite his state of health, then the results of the analysis will help prepare morally and financially for the birth of a special baby.

Some women refuse to undergo a chorionbiopsy, saying that they will accept their child with anyone. But still, you need to know that thanks to chorionbiopsy, up to 4000 possible disorders as a result of chromosomes or abnormal genes.

Diseases diagnosed by chorionbiopsy:

• anomalies associated with chromosomes - Down syndrome, Turner, Patau, Klinefelter, Edwards;
• hereditary diseases, such as hemophilia or hemolytic anemia;
• fermentopathy - diseases associated with impaired synthesis of enzymes (Lesch-Nyhan syndrome, phenylketonuria, citrulinemia, arginine succinic aciduria);
• lysosomal diseases associated with metabolic disorders.

Modern medicine allows some of these disorders to be cured at the stage of intrauterine development of the fetus.

If a woman refuses the procedure, then there are also certain risks associated with the following points:

• the birth of a child with a disease that was not even expected;
• pregnancy and future birth are transferred to the risk group, as the doctor finds it difficult to determine the method of treatment;
• it is necessary to give birth in a maternity hospital, where there is a modern equipped intensive care unit for newborns, including premature ones.

In this video - a commentary by a specialist on the topic of importance early diagnosis genetic diseases:

Conclusion

Any experiences and worries can negatively affect the well-being of the mother and child.

Therefore, if you decide to undergo a biopsy, try to mentally prepare yourself for any information. Your loved ones will give you the support you need.