Importance of complete follow-up of spontaneous fetal loss after amniocentesis and chorion villus sampling

Abstract

Women who are the most difficult to trace after amniocentesis or chorion villus sampling are often those who have had an adverse pregnancy outcome. To calculate total fetal loss figures for use in prenatal counselling we have followed in a multicentre study 100% of women who had undergone these procedures. Early spontaneous loss (within three weeks of the procedure) and total spontaneous loss were much lower after amniocentesis (0·2% and 1·3%, respectively) than after chorion villus sampling (1·2% and 2·9%). Four spontaneous fetal losses among the 20 pregnancies that were the most difficult to follow-up increased the loss rate by 0·5% for chorion villus sampling. Risk of early fetal loss aft..