Pain associated with chorionic villus sampling: transabdominal vs transcervical approach - 13/08/11
Résumé |
Objective |
The purpose of this study was to compare anticipated and perceived pain that is associated with transabdominal and transcervical chorionic villus sampling (CVS).
Study Design |
Women with singleton pregnancies who were undergoing CVS completed a preprocedure 0-10 visual analog scale (VAS; 0 = no pain, 10 = excruciating pain) for anticipated transabdominal and transcervical CVS–related pain. After the procedure, patients completed a VAS for perceived pain.
Results |
One hundred twenty-one women underwent transabdominal (n = 98) or transcervical (n = 23) CVS. Anticipated pain was 4.5 ± 2.0, which was similar in patients who ultimately underwent transabdominal (score, 4.6 ± 3.8) or transcervical (score, 4.1 ± 2.2) CVS. Postprocedure perceived pain was similar for transabdominal CVS in women with an abdominal wall thickness of <4 cm (score, 2.3 ± 0.8) and transcervical CVS (score, 2.6 ± 2.2) but was significantly greater for transabdominal CVS among women with an abdominal wall thickness of ≥4 cm (score, 5.6 ± 1.2; P < .0001) and nulliparous women who had transcervical CVS (score, 4.3 ± 2.1; P = .01).
Conclusion |
Transabdominal CVS is more painful in heavier women, and transcervical CVS is more painful in nulliparous women.
Le texte complet de cet article est disponible en PDF.Key words : chorionic villus sampling, pain, prenatal diagnosis
Plan
| Authorship and contribution to the article is limited to the 7 authors indicated. There was no outside funding or technical assistance with the production of this article. |
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| Reprints not available from the authors. |
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| Cite this article as: Wax JR, Davies NP, Watson WJ, et al. Pain associated with chorionic villus sampling: transabdominal vs transcervical approach. Am J Obstet Gynecol 2009;201:400.e1-3. |
Vol 201 - N° 4
P. 400.e1-400.e3 - octobre 2009 Retour au numéro
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