2008Journal of Practical Obstetrics and GynecologyRequires access

Application of Transcervical Chorionic Villus Sampling in the Prenatal Diagnosis of Thalassemia

Shi Ling

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Abstract

Objective: To evaluate the feasibility and safety of prenatal diagnosis of Thalassemia in first trimester of gestation by Transcervical chorionic villus sampling (TC-CVS). Methods: 883 cases singleton pregnancies at 9~11 gestation weeks with Thalassemia high risk were performed in TC-CVS. After obtaining fetal DNA by chorionic villus sampling, PCR method was used to detect genotypes of Thalassemia. All the women were followed-up until completion of pregnancy. Results: The success rate of TC-CVS was 95.36%. The incidence of operation-associated fetal loss and intrauterine infection was 4.3%. and 1.13 %, separately. The α and β globin genotypes of 842 fetuses were as follows: Severe Thal 143, Hb H disease were 26. Conclusions: TC-CVS appears safe and feasible, and might to be offered in the prenatal diagnosis of Thalassemia in first trimester of gestation.

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What this paper is about

Objective: To evaluate the feasibility and safety of prenatal diagnosis of Thalassemia in first trimester of gestation by Transcervical chorionic villus sampling (TC-CVS). Methods: 883 cases singleton pregnancies at 9~11 gestation weeks with Thalassemia high risk were performed in TC-CVS. After obtaining fetal DNA by chorionic villus sampling, PCR method was used to detect genotypes of Thalassemia. All the women were followed-up until completion of pregnancy. Results: The success rate of TC-CVS was 95.36%. The incidence of operation-associated fetal loss and intrauterine infection was 4.3%. and 1.13 %, separately. The α and β globin genotypes of 842 fetuses were as follows: Severe Thal 143, Hb H disease were 26. Conclusions: TC-CVS appears safe and feasible, and might to be offered in the prenatal diagnosis of Thalassemia in first trimester of gestation.

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Available abstract

Objective: To evaluate the feasibility and safety of prenatal diagnosis of Thalassemia in first trimester of gestation by Transcervical chorionic villus sampling (TC-CVS). Methods: 883 cases singleton pregnancies at 9~11 gestation weeks with Thalassemia high risk were performed in TC-CVS. After obtaining fetal DNA by chorionic villus sampling, PCR method was used to detect genotypes of Thalassemia. All the women were followed-up until completion of pregnancy. Results: The success rate of TC-CVS was 95.36%. The incidence of operation-associated fetal loss and intrauterine infection was 4.3%. and 1.13 %, separately. The α and β globin genotypes of 842 fetuses were as follows: Severe Thal 143, Hb H disease were 26. Conclusions: TC-CVS appears safe and feasible, and might to be offered in the prenatal diagnosis of Thalassemia in first trimester of gestation.

Key concepts: Chorionic villus sampling, Medicine, Prenatal diagnosis, Thalassemia, Obstetrics, Gestation, Chorionic villi, Fetus

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