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<div class="HwContainer HwElement" id="HwContainer"><a class="HwMainSkipNavigation" href="#HwContentTitle"><span class="HwAccessibilityText">Skip Navigation</span></a><div class="HwBlock" id="HwMain" role="main"><div class="HwRow"><div class="HwColumn" id="HwColumnSidebar1"><div class="HwCustom" id="HwCustomSidebar"> </div></div><div class="HwColumn" id="HwColumnContent"><div id="HwContentTop"> </div><div class="HwTypeDecisionPoint HwContentWrapper HwElement" role="article" id="HwContentWrapper"><div class="HwCustom" id="HwCustomContentTop"> </div><div class="HwContentHeader"><p><a name="top" id="Hwtop"><span class="HwAccessibilityText">Top of the page</span></a>Decision Point</p></div><div class="HwContentTitle"><h1 id="HwContentTitle" tabindex="-1">Pregnancy: Should I Have CVS (Chorionic Villus Sampling)?</h1></div><div class="HwContentTopNavigation"> </div><div class="HwContent"><div class="HwDpPrinter" id="HwDpPrinter"> </div><p class="HwDecisionPointDisclaimer">You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.</p><div id="HwDecisionPoint"><div class="HwDecisionPointHeadline"><h2>Pregnancy: Should I Have CVS (Chorionic Villus Sampling)?</h2></div><div id="HwDecisionPointBody"><div id="HwSections"><table style="width: 100%" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td><div class="HwSectionTab HwSectionTabLink" id="HwGetTheFactsTab"><div><h2 class="HwSectionTabNumber">1</h2><p>Get the<br>Facts</p></div></div></td><td><div class="HwSectionTab HwSectionTabLink" id="HwCompareOptionsTab"><div><h2 class="HwSectionTabNumber">2</h2><p>Compare<br>Options</p></div></div></td><td><div class="HwSectionTab HwSectionTabLink" id="HwYourFeelingsTab"><div><h2 class="HwSectionTabNumber">3</h2><p>Your<br>Feelings</p></div></div></td><td><div class="HwSectionTab HwSectionTabLink" id="HwYourDecisionTab"><div><h2 class="HwSectionTabNumber">4</h2><p>Your<br>Decision</p></div></div></td><td><div class="HwSectionTab HwSectionTabLink" id="HwQuizYourselfTab"><div><h2 class="HwSectionTabNumber">5</h2><p>Quiz<br>Yourself</p></div></div></td><td><div class="HwSectionTab HwSectionTabLink" id="HwYourSummaryTab"><div><h2 class="HwSectionTabNumber">6</h2><p>Your Summary</p></div></div></td></tr></tbody></table></div><div class="HwTabSection" id="HwGetTheFacts"><h3 class="HwSectionTitle HwFocusStop">Get the facts</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><div id="HwYourOptions"> <h3 class="HwSubSectionTitle">Your options</h3> <ul> <li>Have CVS (chorionic villus sampling).</li> <li>Don't have CVS.</li> </ul> </div><div id="HwKeyPoints"> <h3 class="HwSubSectionTitle">Key points to remember</h3> <ul> <li>CVS is done in the first trimester. If the test shows a serious health problem, you have more time to decide whether you want to continue your pregnancy or make plans to care for a sick child.</li> <li>CVS isn't a routine test. But your doctor may recommend it if your chances of having a baby with a genetic condition or birth defect are higher than average.</li> <li>Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</li> <li>CVS has some risks, including a small chance of causing a miscarriage.</li> </ul> </div><div id="HwFAQs"><div class="HwFAQsTitle">FAQs</div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">What is CVS?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p> CVS (chorionic villus sampling) is a test that is done to see if your baby may be born with certain kinds of serious health problems.</p> <p>CVS is usually done between weeks 10 and 13 of a woman's pregnancy. But it's not a routine test. Your doctor may recommend it if a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stf124115" data-hw-section="stf124115-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stf124115" data-hwid="stf124115" hw:section-href="stf124115-sec" href="?id=stf124115#stf124115-sec"><span class="HwLinkText">fetal ultrasound</span></a> and blood tests suggest that your chances of having a baby with a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stg124299" data-hw-section="stg124299-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stg124299" data-hwid="stg124299" hw:section-href="stg124299-sec" href="?id=stg124299#stg124299-sec"><span class="HwLinkText">genetic condition</span></a> or birth defect are higher than average. Or you may already know that your chances are higher because of your age and family history.</p> <p>Chorionic villi are tiny finger-shaped growths in the <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stp1633" data-hw-section="stp1633-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stp1633" data-hwid="stp1633" hw:section-href="stp1633-sec" href="?id=stp1633#stp1633-sec"><span class="HwLinkText">placenta</span></a>. The genetic material in these cells is the same as that in the baby's cells. Early in your pregnancy, a doctor can take a sample of these cells and check them for certain health problems.</p> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">What information can CVS provide?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>Chorionic villus sampling can tell you if your baby may be at risk for having: </p> <ul> <li>A genetic condition, such as <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="std120885" data-hw-section="std120885-sec" rel="Definition" hw:document-type="Definition" hw:document-href="std120885" data-hwid="std120885" hw:section-href="std120885-sec" href="?id=std120885#std120885-sec"><span class="HwLinkText">Down syndrome</span></a>.</li> <li>A disease that can run in families, such as <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stt11500" data-hw-section="stt11500-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stt11500" data-hwid="stt11500" hw:section-href="stt11500-sec" href="?id=stt11500#stt11500-sec"><span class="HwLinkText">Tay-Sachs disease</span></a> or <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sth149702" data-hw-section="sth149702-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sth149702" data-hwid="sth149702" hw:section-href="sth149702-sec" href="?id=sth149702#sth149702-sec"><span class="HwLinkText">hemophilia</span></a>.</li> </ul> <p>Even if the results from your CVS are normal, it doesn't guarantee that your baby will be born healthy. No test can do that. For example, CVS can't find many common problems, such as defects of the heart, stomach, intestines, or brain and spine (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stn166112" data-hw-section="stn166112-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stn166112" data-hwid="stn166112" hw:section-href="stn166112-sec" href="?id=stn166112#stn166112-sec"><span class="HwLinkText">neural tube defect</span></a>). A blood test (alpha-fetoprotein test) may be done early in your second trimester to check for some of these defects.</p> <p>There is another test that can be done during your second trimester that looks for both genetic conditions and neural tube defects. This test is called <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sta123164" data-hw-section="sta123164-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sta123164" data-hwid="sta123164" hw:section-href="sta123164-sec" href="?id=sta123164#sta123164-sec"><span class="HwLinkText">amniocentesis</span></a>. It's usually done between weeks 15 and 20 of your pregnancy.</p> <p>Some women choose to wait until they can have amniocentesis. Others choose to have CVS in their first trimester. If it shows a serious problem, they have more time to make decisions about their pregnancy.</p> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">How is CVS done?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>Chorionic villi cells can be collected in one of two ways. During the test, your doctor may:</p> <ul> <li>Put a thin, flexible tube called a catheter through your vagina and cervix into the placenta. This is called transcervical CVS.</li> <li>Put a long, thin needle through your belly into the placenta. This is called transabdominal CVS.</li> </ul> <p>The doctor uses ultrasound to guide the catheter or needle to the right spot.</p> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">What are the benefits of having CVS?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>The test can tell you if your baby may be born with certain kinds of serious health problems. Many parents are not prepared to care for a baby who is sick or has a birth defect. Information that you get from this test can help you and your partner plan for the future.</p> <p>If the test finds that your baby has a genetic condition or a birth defect, you and your partner may be faced with a tough decision about whether to continue the pregnancy. It may be helpful to talk with your doctor and a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="tv7694" data-hw-section="tv7694-sec" rel="Definition" hw:document-type="Definition" hw:document-href="tv7694" data-hwid="tv7694" hw:section-href="tv7694-sec" href="?id=tv7694#tv7694-sec"><span class="HwLinkText">genetic counselor</span></a>. They can help you understand your baby's health problem and what to expect when he or she is born.</p> <p>Results from the test can also help you decide where to have your baby. If your baby will need surgery or special care, you can plan to have your baby in a hospital that has special services for newborns, such as a neonatal intensive care unit.</p> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">What are the risks of CVS?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>A CVS test has some risks. You'll have to weigh the benefit of knowing if something might be wrong with your baby against the risks of having the test.</p> <p>There is a small chance that the test may cause you to have a miscarriage. This means that you could lose your baby after you have the test. But when the test is done by highly trained doctors, the risk of having a miscarriage is small.</p> <ul> <li>In studies of women who had CVS performed by a highly trained doctor, about 1 out of 455 women had a miscarriage after the test, while 454 did not.<sup class="Reference"><a class="HwLinkReference" data-hw-type="DecisionPoint" data-hw-document-href="tb1905" data-hw-section="tb1905-Bib" rel="abs2946-Cit" hw:document-type="DecisionPoint" hw:document-href="tb1905" data-hwid="tb1905" hw:section-href="tb1905-Bib" hw:name-href="abs2946" href="?id=tb1905#tb1905-Bib"><span class="HwAccessibilityText">footnote </span>1</a></sup></li> </ul> <p>Other risks include:</p> <ul> <li> <b>Infection.</b> There is a chance that you could get an infection in your <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stu3215" data-hw-section="stu3215-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stu3215" data-hwid="stu3215" hw:section-href="stu3215-sec" href="?id=stu3215#stu3215-sec"><span class="HwLinkText">uterus</span></a>.</li> <li> <b>Bleeding.</b> There is a very small chance that you could bleed during the test. If this happens, your blood may mix with your baby's blood. This is only a problem if your blood is Rh-negative and your baby's is Rh-positive, because you could have an immune system response called <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="str2397" data-hw-section="str2397-sec" rel="Definition" hw:document-type="Definition" hw:document-href="str2397" data-hwid="str2397" hw:section-href="str2397-sec" href="?id=str2397#str2397-sec"><span class="HwLinkText">Rh sensitization</span></a>. If you're at risk for Rh sensitization, you'll be given a vaccine to prevent it. </li> <li> <b>Arm or leg defect.</b> There is a chance that your baby may be born with an arm or leg defect. But this is rare, especially if the test is done after week 10 of your pregnancy.</li> </ul> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">What should you think about before having CVS?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>Before you decide to have CVS, you might think about:</p> <ul> <li>Your chance of passing on a family disease to your baby.</li> <li>Your age. As you get older, you have a greater chance of having a baby with a birth defect.</li> <li>Your need to know about any problems with your baby.</li> <li>What you might do if the test shows a problem.</li> <li>Whether you can afford to pay for the test. CVS can cost a lot, and the test is not offered in all places. Most insurance companies will cover the cost of the test if you have certain risk factors that may increase your baby's chance of having a serious health problem. A risk factor is something—such as your age or family history—that raises your risk of having a certain health problem.</li> </ul> </div></div> </div> <div class="HwFAQ"> <h3 class="HwFAQBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)"><span class="HwFAQQuestion">Why might your doctor recommend CVS?</span></a></h3> <div class="HwFAQContent"><div class="HwFAQAnswer"> <p>Your doctor may advise you to have CVS if:</p> <ul> <li>Other tests suggest that your chance of having a baby with a genetic condition or birth defect is higher than average.</li> <li>You or your partner has a family history of genetic conditions or birth defects. </li> <li>You or your partner carries an abnormal gene that is known to cause a certain disease.</li> <li>You already have a child who has Down syndrome or another <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stc123678" data-hw-section="stc123678-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stc123678" data-hwid="stc123678" hw:section-href="stc123678-sec" href="?id=stc123678#stc123678-sec"><span class="HwLinkText">chromosomal</span></a> defect.</li> <li>You want to know if your baby has a serious health problem so you can decide early whether you want to continue your pregnancy or make plans to care for a sick child.</li> </ul> </div></div> </div> </div></div></div><div class="HwTabSection" id="HwCompareOptions"><h3 class="HwSectionTitle HwFocusStop">Compare your options</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><div id="HwComparisonWrapper"><div id="HwComparisonBorder"><div id="HwComparison"><div id="HwComparisonTable"><div class="HwComparisonHeading"><div class="HwComparisonControlContainer"><div class="HwComparisonHeadingTitle"><p>Compare</p></div><div class="HwSelectComparisonOption"><select id="HwCompareOptionsA" title="'DP.DropdownMultiSelectOne'"><option value="Select">Compare Option 1</option><option value="Have CVS">Have CVS</option><option value="Don't have CVS">Don't have CVS</option></select></div><div class="HwSelectComparisonOption"><select id="HwCompareOptionsB" title="'DP.DropdownMultiSelectTwo'"><option value="Select">Compare Option 2</option><option value="Have CVS">Have CVS</option><option value="Don't have CVS">Don't have CVS</option></select></div></div></div><table class="HwComparisonQuestions"><tbody><tr><td class="HwComparisonEmptyHeader"> </td><th> </th><th> </th></tr><tr class="HwComparisonQuestion"><th class="HwComparisonQuestionText"><p>What is usually involved?</p></th><td class="HwComparisonItem"><p><br><br><br><br><br><br><br><br></p></td><td class="HwComparisonItem"><p> </p></td></tr><tr class="HwComparisonQuestion"><th class="HwComparisonQuestionText"><p>What are the benefits?</p></th><td class="HwComparisonItem"><p><br><br><br><br><br><br><br><br></p></td><td class="HwComparisonItem"><p> </p></td></tr><tr class="HwComparisonQuestion"><th class="HwComparisonQuestionText"><p>What are the risks and side effects?</p></th><td class="HwComparisonItem"><p><br><br><br><br><br><br><br><br></p></td><td class="HwComparisonItem"><p> </p></td></tr></tbody></table><div id="HwComparisonOptions"> <div class="HwComparisonOption"> <span class="HwOptionName">Have CVS</span> <span class="HwOptionTitle">Have CVS</span> <div class="HwOptionInvolved"> <ul> <li>The test is usually done in a doctor's office or hospital.</li> <li>You lie on your back while your doctor uses an ultrasound to guide either: <ul><li>A thin, flexible tube (catheter) through your vagina and cervix into the placenta.</li><li>A thin needle through your belly into the placenta.</li></ul></li> <li>You may feel some discomfort, such as cramping, during the test.</li> <li>You can go home after the test.</li> </ul> </div> <div class="HwOptionBenefits"> <ul> <li>You find out early in your pregnancy if your baby has a genetic condition or birth defect.</li> <li>Information from the test can help you to: <ul><li>Decide if you want to continue your pregnancy.</li><li>Make plans to care for a baby who is sick or has a birth defect.</li><li>Choose a hospital that specializes in caring for newborns with serious health problems.</li></ul></li> </ul> </div> <div class="HwOptionRisks"> <ul> <li>Possible risks include: <ul><li>A miscarriage.</li><li>An infection.</li><li>Bleeding.</li><li>An arm or leg defect in the baby.</li></ul></li> </ul> </div> </div> <div class="HwComparisonOption"> <span class="HwOptionName">Don't have CVS</span> <span class="HwOptionTitle">Don't have CVS</span> <div class="HwOptionInvolved"> <ul> <li>You have regular prenatal exams and blood tests to check for any signs of problems.</li> </ul> </div> <div class="HwOptionBenefits"> <ul> <li>You avoid the cost of CVS.</li> <li>You avoid the risks from having CVS.</li> </ul> </div> <div class="HwOptionRisks"> <ul> <li>You won't know if your baby has a severe birth defect until after he or she is born.</li> <li>Birth could be harder on you or your baby if the doctor doesn't know ahead of time that there is a problem.</li> </ul> </div> </div> </div></div></div></div></div><div id="HwPersonalStories"><div id="HwPersonalStoriesWindow"><div id="HwPersonalStoriesContentWrapper"><div id="HwPersonalStoriesBorder"><div id="HwPersonalStoriesHeader"><div class="HwPersonalStoriesContent" id="HwPersonalStoriesContentArea"><div class="HwAboutPersonalStories"> <h3 class="HwSubSectionTitle">Personal stories about chorionic villus sampling</h3> <p> These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. </p> </div> </div></div><div class="HwStories" id="HwStories"><div class="HwPersonalStoriesContent"><div class="HwPersonalStory HwPersonalStoryOdd"><div class="HwPersonalStoryBody"> <p>My doctor talked to me about the risk of having a baby with Down syndrome. I understand that at my age, the risk starts to go up. I had a second cousin with Down syndrome, so I know what that's like. I would end the pregnancy if it turned out the baby had it, so I am going to have CVS and find out. </p> </div><div class="HwPersonalStoryIdentity"> <p>Georgia, age 35</p> </div></div><div class="HwPersonalStory HwPersonalStoryEven"><div class="HwPersonalStoryBody"> <p>My doctor told me there is a risk of having a baby with problems because of my age. But testing wouldn't change my mind. It has taken me 5 years to get pregnant. I won't do anything that might cause me to lose the baby. </p> </div><div class="HwPersonalStoryIdentity"> <p>Patricia, age 39</p> </div></div><div class="HwPersonalStory HwPersonalStoryOdd"><div class="HwPersonalStoryBody"> <p>My husband and I are Jewish, so we had genetic testing and found out we are both carriers of Tay-Sachs disease. We will definitely have CVS to find out if our baby has it. We want children but not if they will have that awful disease. If this pregnancy doesn't work out, we will try again. </p> </div><div class="HwPersonalStoryIdentity"> <p>Sabrina, age 32</p> </div></div><div class="HwPersonalStory HwPersonalStoryEven"><div class="HwPersonalStoryBody"> <p>I want to find out if my baby has any problems so I can be prepared. But no matter what, I wouldn't end the pregnancy, so I am going to wait and have amnio. I had it done with my second child. I feel more comfortable having it again instead of a different test, and I don't need to find out in the first trimester. </p> </div><div class="HwPersonalStoryIdentity"> <p>Coco, age 43</p> </div></div> </div></div><div class="HwStoriesFooter"> </div></div></div></div></div></div></div><div class="HwTabSection" id="HwYourFeelings"><h3 class="HwSectionTitle HwFocusStop">What matters most to you?</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><p> Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. </p><div id="HwFactsYourOptions"> <div class="HwSliderBackground HwCornerAll"> <p class="HwOptionText HwOptionTextLeft">Reasons to have CVS</p> <p class="HwOptionText HwOptionTextRight">Reasons not to have CVS</p> <div class="HwHelperStopFloat"> </div></div> <div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">I want to have the test, because I'm worried that something might be wrong with my baby.</p> <p class="HwSliderTextRight">I'm not worried that something might be wrong with my baby.</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> <div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">I want to know if my baby has a birth defect so I have time to prepare to care for a child with special needs.</p> <p class="HwSliderTextRight">Knowing that my baby has a birth defect won't change the way I plan to care for my child.</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> <div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">I want to know if my baby has a birth defect so I have time to decide if I want to continue my pregnancy.</p> <p class="HwSliderTextRight">Knowing that my baby has a birth defect won't change my plans to carry my baby to term.</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> <div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">I'm not afraid of the needle or catheter that is used to do the test.</p> <p class="HwSliderTextRight">I don't like needles or catheters.</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> <div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">I'm not worried about how much CVS costs.</p> <p class="HwSliderTextRight">I don't have insurance, and I can't afford to pay for the test myself.</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> <div class="HwMultiOptionSlider HwNotRequired"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">My other important reasons:</p> <p class="HwSliderTextRight">My other important reasons:</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderText"> <textarea class="HwSliderComment HwSliderCommentLeft" cols="30" name="HwSliderCommentLeft" rows="4"> </textarea> <textarea class="HwSliderComment HwSliderCommentRight" cols="30" name="HwSliderCommentRight" rows="4"> </textarea> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider optional"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">More important</div> <div class="HwSliderLabelCenter">Equally important</div> <div class="HwSliderLabelRight">More important</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> </div></div></div><div class="HwTabSection" id="HwYourDecision"><h3 class="HwSectionTitle HwFocusStop">Where are you leaning now?</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><p> Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. </p><div class="HwMultiOptionSlider"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwSliderTextLeft">Having CVS</p> <p class="HwSliderTextRight">NOT having CVS</p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSlider"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">Leaning toward</div> <div class="HwSliderLabelCenter">Undecided</div> <div class="HwSliderLabelRight">Leaning toward</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div></div></div><div class="HwTabSection" id="HwQuizYourself"><h3 class="HwSectionTitle HwFocusStop">What else do you need to make your decision?</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><div id="HwQuizQuestionsWrapper"><div id="HwQuizQuestionsBorder"><div id="HwQuizQuestions"><div id="HwCheckYourFacts"> <div class="HwQuizSubtitleTop"><p class="HwQuizSubtitleText"> Check the facts </p></div> <div class="HwQuestionSet"> <div class="HwQuizQuestion"> <fieldset class="HwMultipleChoiceQuestion" id="Hwq1"> <legend class="HwQuestionLegend"><span class="HwOrderedNumber" aria-hidden="true">1.</span><span class="HwQuestionText"><span class="HwAccessibilityText">1, </span><span class="HwQuestionTextValue">Can a CVS test guarantee that your baby will be born healthy?</span></span></legend> <div class="HwAnswers"><ul><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq1a" name="Hwq1" value="a"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></span><span class="HwAnswerResultsText">Sorry, that's not right. Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq1b" name="Hwq1" value="b"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></span><span class="HwAnswerResultsText">That's right. Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</span><span class="HwCorrectAnswer"> </span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq1c" name="Hwq1" value="c"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I'm not sure</a></span><span class="HwAnswerResultsText">It may help to go back and read "Get the Facts." Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</span></label></li></ul><div class="HwClear"> </div></div> </fieldset> </div> <div class="HwQuizQuestion"> <fieldset class="HwMultipleChoiceQuestion" id="Hwq2"> <legend class="HwQuestionLegend"><span class="HwOrderedNumber" aria-hidden="true">2.</span><span class="HwQuestionText"><span class="HwAccessibilityText">2, </span><span class="HwQuestionTextValue">Does CVS have some risks?</span></span></legend> <div class="HwAnswers"><ul><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq2a" name="Hwq2" value="a"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></span><span class="HwAnswerResultsText">That's right. CVS has some risks, including a small chance of causing a miscarriage.</span><span class="HwCorrectAnswer"> </span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq2b" name="Hwq2" value="b"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></span><span class="HwAnswerResultsText">Sorry, that's not right. CVS has some risks, including a small chance of causing a miscarriage.</span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq2c" name="Hwq2" value="c"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I'm not sure</a></span><span class="HwAnswerResultsText">It may help to go back and read "Get the Facts." CVS has some risks, including a small chance of causing a miscarriage.</span></label></li></ul><div class="HwClear"> </div></div> </fieldset> </div> <div class="HwQuizQuestion"> <fieldset class="HwMultipleChoiceQuestion" id="Hwq3"> <legend class="HwQuestionLegend"><span class="HwOrderedNumber" aria-hidden="true">3.</span><span class="HwQuestionText"><span class="HwAccessibilityText">3, </span><span class="HwQuestionTextValue">Should all pregnant women have CVS?</span></span></legend> <div class="HwAnswers"><ul><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq3a" name="Hwq3" value="a"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></span><span class="HwAnswerResultsText">Sorry, that's not right. CVS isn't a routine test. But your doctor may recommend CVS if your chances of having a baby with a genetic condition or birth defect are higher than average.</span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq3b" name="Hwq3" value="b"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></span><span class="HwAnswerResultsText">That's right. CVS isn't a routine test. But your doctor may recommend CVS if your chances of having a baby with a genetic condition or birth defect are higher than average.</span><span class="HwCorrectAnswer"> </span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" id="Hwq3c" name="Hwq3" value="c"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I'm not sure</a></span><span class="HwAnswerResultsText">It may help to go back and read "Get the Facts." CVS isn't a routine test. But your doctor may recommend CVS if your chances of having a baby with a genetic condition or birth defect are higher than average.</span></label></li></ul><div class="HwClear"> </div></div> </fieldset> </div> </div> </div><div id="HwYourChoices"> <div class="HwQuizSubtitle"><p class="HwQuizSubtitleText">Decide what's next</p></div> <div class="HwQuestionSet"> <div class="HwQuizQuestion"> <fieldset class="HwBooleanQuestion" id="Hwq4"><legend><span class="HwOrderedNumber" aria-hidden="true">1.</span><span class="HwQuestionText"><span class="HwAccessibilityText">1,</span><span class="HwQuestionTextValue">Do you understand the options available to you?</span></span></legend><div class="HwAnswers"><ul><li class="HwAnswer HwYesButton"><span class="HwRadioButton"><input type="radio" id="Hwq4a" name="Hwq4" value="a"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq4a"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></label></span></li><li class="HwAnswer HwNoButton"><span class="HwRadioButton"><input type="radio" id="Hwq4b" name="Hwq4" value="b"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq4b"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></label></span></li></ul></div><div class="HwBooleanQuestionClear"> </div></fieldset> </div> <div class="HwQuizQuestion"> <fieldset class="HwBooleanQuestion" id="Hwq5"><legend><span class="HwOrderedNumber" aria-hidden="true">2.</span><span class="HwQuestionText"><span class="HwAccessibilityText">2,</span><span class="HwQuestionTextValue">Are you clear about which benefits and side effects matter most to you?</span></span></legend><div class="HwAnswers"><ul><li class="HwAnswer HwYesButton"><span class="HwRadioButton"><input type="radio" id="Hwq5a" name="Hwq5" value="a"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq5a"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></label></span></li><li class="HwAnswer HwNoButton"><span class="HwRadioButton"><input type="radio" id="Hwq5b" name="Hwq5" value="b"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq5b"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></label></span></li></ul></div><div class="HwBooleanQuestionClear"> </div></fieldset> </div> <div class="HwQuizQuestion"> <fieldset class="HwBooleanQuestion" id="Hwq6"><legend><span class="HwOrderedNumber" aria-hidden="true">3.</span><span class="HwQuestionText"><span class="HwAccessibilityText">3,</span><span class="HwQuestionTextValue">Do you have enough support and advice from others to make a choice?</span></span></legend><div class="HwAnswers"><ul><li class="HwAnswer HwYesButton"><span class="HwRadioButton"><input type="radio" id="Hwq6a" name="Hwq6" value="a"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq6a"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">Yes</a></label></span></li><li class="HwAnswer HwNoButton"><span class="HwRadioButton"><input type="radio" id="Hwq6b" name="Hwq6" value="b"></span><span class="HwAnswerTextWrapper"><label class="HwAnswerText" for="Hwq6b"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">No</a></label></span></li></ul></div><div class="HwBooleanQuestionClear"> </div></fieldset> </div> </div> </div><div id="HwCertainty"> <div class="HwQuizSubtitle"><p class="HwQuizSubtitleText">Certainty</p></div> <div class="HwQuestionSet"> <div class="HwQuizQuestion"> <div class="HwSliderQuestion"> <div class="HwMultiOptionSliderLeft" id="Hwq7"><div class="HwSliderBackground HwCornerAll"><div class="HwSliderText"> <p class="HwQuestionWrapper"><span class="HwOrderedNumber">1. </span><span class="HwQuestionText">How sure do you feel right now about your decision?</span></p> <div class="HwHelperStopFloat"> </div></div><div class="HwSliderContainer"><div class="HwSliderLeft SliderQuestion"> </div></div><div class="HwSliderLabel"> <div class="HwSliderLabelLeft">Not sure at all</div> <div class="HwSliderLabelCenter">Somewhat sure</div> <div class="HwSliderLabelRight">Very sure</div> <div class="HwHelperStopFloat"> </div></div><div class="HwHelperStopFloat"> </div></div></div> </div> </div> <div class="HwQuizQuestion"> <fieldset class="HwMultipleChoiceQuestion HwNextStepsQuestion" id="Hwq8"> <legend class="HwQuestionLegend"><span class="HwOrderedNumber" aria-hidden="true">2.</span><span class="HwQuestionText"><span class="HwAccessibilityText">2, </span><span class="HwQuestionTextValue">Check what you need to do before you make this decision.</span></span></legend> <div class="HwAnswers"><ul><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" value="a" id="Hwq8a" name="Hwq8"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I'm ready to take action.</a></span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" value="b" id="Hwq8b" name="Hwq8"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I want to discuss the options with others.</a></span></label></li><li class="HwAnswer"><label class="HwAnswerTextWrapper"><span class="HwRadioButton"><input type="radio" value="c" id="Hwq8c" name="Hwq8"></span><span class="HwAnswerText"><a class="HwTabStopLink" href="javascript:void(0);" rel=".HwRadioButton" onclick="return false;">I want to learn more about my options.</a></span></label></li></ul><div class="HwClear"> </div></div> </fieldset> </div> <div class="HwQuizQuestion"> <div class="HwConcerns"> <label class="HwQuestionText" for="HwConcernsText">Use the following space to list questions, concerns, and next steps.</label> <textarea name="HwConcernsText" cols="60" rows="5" id="HwConcernsText"> </textarea> </div> </div> </div> </div></div></div></div></div></div><div class="HwTabSection" id="HwYourSummary"><h3 class="HwSectionTitle HwFocusStop">Your Summary</h3><div class="HwSectionSeperator"> </div><div class="HwDecisionPointContent"><p>Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.</p><div id="HwSummary"><div class="HwSummaryContainer" id="HwYourDecisionSummary"><h3 class="HwSummaryBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)">Your decision</a><span class="HwAccordionWarning"> </span></h3><div class="HwSummarySection"><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Next steps</h4></div><h4 class="HwSummarySectionHeading" id="HwNextStepsSummary"> </h4><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Which way you're leaning</h4></div><h5 class="HwSummarySectionSubHeading" id="HwLeaningSummary"> </h5><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">How sure you are</h4></div><h5 class="HwSummarySectionSubHeading" id="HwHowSureSummary"> </h5><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Your comments</h4></div><h4 class="HwSummarySectionHeading" id="HwYourCommentsSummary"> </h4></div></div><div class="HwSummaryContainer"><h3 class="HwSummaryBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)">Your knowledge of the facts</a><span class="HwAccordionWarning"> </span></h3><div class="HwSummarySection" id="HwKeyConceptsSummary"><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Key concepts that you understood</h4></div><div id="HwSummaryFactCheckCorrect"> </div><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Key concepts that may need review</h4></div><div id="HwSummaryFactCheckIncorrect"> </div></div></div><div class="HwSummaryContainer"><h3 class="HwSummaryBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)">Getting ready to act</a><span class="HwAccordionWarning"> </span></h3><div class="HwSummarySection" id="HwReadyToActSummary"><div class="HwBackgroundBox"><h4 class="HwSummarySectionHeading">Patient choices</h4></div><div id="HwSummaryPatientChoices"> </div></div></div><div class="HwSummaryContainer"><h3 class="HwSummaryBackgroundHeader"><a class="HwTabIndexMinusOne" href="javascript:void(0)">What matters to you</a><span class="HwAccordionWarning"> </span></h3><div class="HwSummarySection" id="HwMattersToYouSummary"> </div></div></div></div></div></div><div id="HwNavigationFooter"><div class="HwNavigationPrevious"><button class="HwNavigationPreviousLink" type="button"> < Previous</button></div><div class="HwNavigationNext"><button class="HwNavigationNextLink" type="button">Next > </button></div><div class="HwDpPrintSummary"><div class="HwDpPrintSummaryRight"> </div><div class="HwDpPrintSummaryCenter"><a class="HwDpPrintSummaryLink" href="javascript:void(0);">Print Summary</a></div><div class="HwDpPrintSummaryLeft"> </div></div></div><div id="HwReferences"><div class="HwReferenceContainer"><h3 class="HwReferenceBackgroundHeader"><a href="javascript:void(0)"><span class="HwReferenceLabel">Credits and References</span></a></h3><div class="HwReferenceContent"><div class="HwCreditsTitle">Credits</div><table class="HwDpCredits"><tbody><tr><th class="HwCreditsColumn1" scope="row">Author</th><td><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en">Ignite Healthwise, LLC Staff</a></td></tr><tr><th class="HwCreditsColumn1" scope="row">Clinical Review Board</th><td><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><span><b>Clinical Review Board</b></span></a><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</td></tr></tbody></table><hr class="HwReferenceHR"><div class="HwReferencesContent"><div class="HwReferencesTitle">References</div><div class="HwCitationsTitle">Citations</div><div class="HwCitationsContent"><ol> <li> <a name="abs2946"> </a>Akolekar R, et al. (2015). Procedure-related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta-analysis. Ultrasound in Obstetrics and Gynecology, 45(1): 16–26. DOI: 10.1002/uog.14636. Accessed April 5, 2017.</li> </ol></div></div></div></div></div></div><div id="HwFlatDecisionPointWrapper"><div id="HwFlatDecisionPoint"><div id="HwFlatHeadlineDisclaimerPrintOnly">You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.</div><h2 class="HwFlatDecisionPointHeadline">Pregnancy: Should I Have CVS (Chorionic Villus Sampling)?</h2><div id="HwFlatHeadlineSubtext">Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.</div><div id="HwFlatDecisionPointSections"><ol><li>Get the facts</li><li>Compare your options</li><li>What matters most to you?</li><li>Where are you leaning now?</li><li>What else do you need to make your decision?</li></ol></div><div class="HwFlatDecisionPointTabSection" id="HwFlatDecisionPointGetTheFacts"><h3>1. Get the Facts</h3> <div id="HwFlatHwYourOptions"> <h3>Your options</h3> <ul> <li>Have CVS (chorionic villus sampling).</li> <li>Don't have CVS.</li> </ul> </div> <div id="HwFlatHwKeyPoints"> <h3>Key points to remember</h3> <ul> <li>CVS is done in the first trimester. If the test shows a serious health problem, you have more time to decide whether you want to continue your pregnancy or make plans to care for a sick child.</li> <li>CVS isn't a routine test. But your doctor may recommend it if your chances of having a baby with a genetic condition or birth defect are higher than average.</li> <li>Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</li> <li>CVS has some risks, including a small chance of causing a miscarriage.</li> </ul> </div> <div id="HwFlatFAQS"><div class="HwFlatFAQsTitle">FAQs</div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">What is CVS?</h4> <div class="HwFlatHwFAQAnswer"> <p> CVS (chorionic villus sampling) is a test that is done to see if your baby may be born with certain kinds of serious health problems.</p> <p>CVS is usually done between weeks 10 and 13 of a woman's pregnancy. But it's not a routine test. Your doctor may recommend it if a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stf124115" data-hw-section="stf124115-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stf124115" data-hwid="stf124115" hw:section-href="stf124115-sec" href="?id=stf124115#stf124115-sec"><span class="HwLinkText">fetal ultrasound</span></a> and blood tests suggest that your chances of having a baby with a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stg124299" data-hw-section="stg124299-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stg124299" data-hwid="stg124299" hw:section-href="stg124299-sec" href="?id=stg124299#stg124299-sec"><span class="HwLinkText">genetic condition</span></a> or birth defect are higher than average. Or you may already know that your chances are higher because of your age and family history.</p> <p>Chorionic villi are tiny finger-shaped growths in the <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stp1633" data-hw-section="stp1633-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stp1633" data-hwid="stp1633" hw:section-href="stp1633-sec" href="?id=stp1633#stp1633-sec"><span class="HwLinkText">placenta</span></a>. The genetic material in these cells is the same as that in the baby's cells. Early in your pregnancy, a doctor can take a sample of these cells and check them for certain health problems.</p> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">What information can CVS provide?</h4> <div class="HwFlatHwFAQAnswer"> <p>Chorionic villus sampling can tell you if your baby may be at risk for having: </p> <ul> <li>A genetic condition, such as <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="std120885" data-hw-section="std120885-sec" rel="Definition" hw:document-type="Definition" hw:document-href="std120885" data-hwid="std120885" hw:section-href="std120885-sec" href="?id=std120885#std120885-sec"><span class="HwLinkText">Down syndrome</span></a>.</li> <li>A disease that can run in families, such as <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stt11500" data-hw-section="stt11500-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stt11500" data-hwid="stt11500" hw:section-href="stt11500-sec" href="?id=stt11500#stt11500-sec"><span class="HwLinkText">Tay-Sachs disease</span></a> or <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sth149702" data-hw-section="sth149702-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sth149702" data-hwid="sth149702" hw:section-href="sth149702-sec" href="?id=sth149702#sth149702-sec"><span class="HwLinkText">hemophilia</span></a>.</li> </ul> <p>Even if the results from your CVS are normal, it doesn't guarantee that your baby will be born healthy. No test can do that. For example, CVS can't find many common problems, such as defects of the heart, stomach, intestines, or brain and spine (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stn166112" data-hw-section="stn166112-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stn166112" data-hwid="stn166112" hw:section-href="stn166112-sec" href="?id=stn166112#stn166112-sec"><span class="HwLinkText">neural tube defect</span></a>). A blood test (alpha-fetoprotein test) may be done early in your second trimester to check for some of these defects.</p> <p>There is another test that can be done during your second trimester that looks for both genetic conditions and neural tube defects. This test is called <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sta123164" data-hw-section="sta123164-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sta123164" data-hwid="sta123164" hw:section-href="sta123164-sec" href="?id=sta123164#sta123164-sec"><span class="HwLinkText">amniocentesis</span></a>. It's usually done between weeks 15 and 20 of your pregnancy.</p> <p>Some women choose to wait until they can have amniocentesis. Others choose to have CVS in their first trimester. If it shows a serious problem, they have more time to make decisions about their pregnancy.</p> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">How is CVS done?</h4> <div class="HwFlatHwFAQAnswer"> <p>Chorionic villi cells can be collected in one of two ways. During the test, your doctor may:</p> <ul> <li>Put a thin, flexible tube called a catheter through your vagina and cervix into the placenta. This is called transcervical CVS.</li> <li>Put a long, thin needle through your belly into the placenta. This is called transabdominal CVS.</li> </ul> <p>The doctor uses ultrasound to guide the catheter or needle to the right spot.</p> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">What are the benefits of having CVS?</h4> <div class="HwFlatHwFAQAnswer"> <p>The test can tell you if your baby may be born with certain kinds of serious health problems. Many parents are not prepared to care for a baby who is sick or has a birth defect. Information that you get from this test can help you and your partner plan for the future.</p> <p>If the test finds that your baby has a genetic condition or a birth defect, you and your partner may be faced with a tough decision about whether to continue the pregnancy. It may be helpful to talk with your doctor and a <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="tv7694" data-hw-section="tv7694-sec" rel="Definition" hw:document-type="Definition" hw:document-href="tv7694" data-hwid="tv7694" hw:section-href="tv7694-sec" href="?id=tv7694#tv7694-sec"><span class="HwLinkText">genetic counselor</span></a>. They can help you understand your baby's health problem and what to expect when he or she is born.</p> <p>Results from the test can also help you decide where to have your baby. If your baby will need surgery or special care, you can plan to have your baby in a hospital that has special services for newborns, such as a neonatal intensive care unit.</p> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">What are the risks of CVS?</h4> <div class="HwFlatHwFAQAnswer"> <p>A CVS test has some risks. You'll have to weigh the benefit of knowing if something might be wrong with your baby against the risks of having the test.</p> <p>There is a small chance that the test may cause you to have a miscarriage. This means that you could lose your baby after you have the test. But when the test is done by highly trained doctors, the risk of having a miscarriage is small.</p> <ul> <li>In studies of women who had CVS performed by a highly trained doctor, about 1 out of 455 women had a miscarriage after the test, while 454 did not.<sup class="HwFlatReference"><a class="HwLinkReference" data-hw-type="DecisionPoint" data-hw-document-href="tb1905" data-hw-section="tb1905-Bib" rel="abs2946-Cit" hw:document-type="DecisionPoint" hw:document-href="tb1905" data-hwid="tb1905" hw:section-href="tb1905-Bib" hw:name-href="abs2946" href="?id=tb1905#tb1905-Bib">1</a></sup></li> </ul> <p>Other risks include:</p> <ul> <li> <b>Infection.</b> There is a chance that you could get an infection in your <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stu3215" data-hw-section="stu3215-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stu3215" data-hwid="stu3215" hw:section-href="stu3215-sec" href="?id=stu3215#stu3215-sec"><span class="HwLinkText">uterus</span></a>.</li> <li> <b>Bleeding.</b> There is a very small chance that you could bleed during the test. If this happens, your blood may mix with your baby's blood. This is only a problem if your blood is Rh-negative and your baby's is Rh-positive, because you could have an immune system response called <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="str2397" data-hw-section="str2397-sec" rel="Definition" hw:document-type="Definition" hw:document-href="str2397" data-hwid="str2397" hw:section-href="str2397-sec" href="?id=str2397#str2397-sec"><span class="HwLinkText">Rh sensitization</span></a>. If you're at risk for Rh sensitization, you'll be given a vaccine to prevent it. </li> <li> <b>Arm or leg defect.</b> There is a chance that your baby may be born with an arm or leg defect. But this is rare, especially if the test is done after week 10 of your pregnancy.</li> </ul> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">What should you think about before having CVS?</h4> <div class="HwFlatHwFAQAnswer"> <p>Before you decide to have CVS, you might think about:</p> <ul> <li>Your chance of passing on a family disease to your baby.</li> <li>Your age. As you get older, you have a greater chance of having a baby with a birth defect.</li> <li>Your need to know about any problems with your baby.</li> <li>What you might do if the test shows a problem.</li> <li>Whether you can afford to pay for the test. CVS can cost a lot, and the test is not offered in all places. Most insurance companies will cover the cost of the test if you have certain risk factors that may increase your baby's chance of having a serious health problem. A risk factor is something—such as your age or family history—that raises your risk of having a certain health problem.</li> </ul> </div> </div> <div class="HwFlatHwFAQ"> <h4 class="HwFlatHwFAQQuestion">Why might your doctor recommend CVS?</h4> <div class="HwFlatHwFAQAnswer"> <p>Your doctor may advise you to have CVS if:</p> <ul> <li>Other tests suggest that your chance of having a baby with a genetic condition or birth defect is higher than average.</li> <li>You or your partner has a family history of genetic conditions or birth defects. </li> <li>You or your partner carries an abnormal gene that is known to cause a certain disease.</li> <li>You already have a child who has Down syndrome or another <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stc123678" data-hw-section="stc123678-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stc123678" data-hwid="stc123678" hw:section-href="stc123678-sec" href="?id=stc123678#stc123678-sec"><span class="HwLinkText">chromosomal</span></a> defect.</li> <li>You want to know if your baby has a serious health problem so you can decide early whether you want to continue your pregnancy or make plans to care for a sick child.</li> </ul> </div> </div> </div> </div><div class="HwFlatDecisionPointTabSection" id="HwFlatDecisionPointCompareOptions"><h3>2. Compare your options</h3><div id="HwFlatHwComparisonTable"> <table class="HwFlatHwComparisonQuestions" border="1" cellspacing="0"><tbody><tr><td> </td><th scope="col"><span class="HwFlatHwOptionTitle">Have CVS</span></th><th scope="col"><span class="HwFlatHwOptionTitle">Don't have CVS</span></th></tr><tr><th class="HwFlatCompareOptionsQuestionCol" scope="row">What is usually involved?</th><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionInvolved"> <ul> <li>The test is usually done in a doctor's office or hospital.</li> <li>You lie on your back while your doctor uses an ultrasound to guide either: <ul><li>A thin, flexible tube (catheter) through your vagina and cervix into the placenta.</li><li>A thin needle through your belly into the placenta.</li></ul></li> <li>You may feel some discomfort, such as cramping, during the test.</li> <li>You can go home after the test.</li> </ul> </div></td><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionInvolved"> <ul> <li>You have regular prenatal exams and blood tests to check for any signs of problems.</li> </ul> </div></td></tr><tr><th class="HwFlatCompareOptionsQuestionCol" scope="row">What are the benefits?</th><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionBenefits"> <ul> <li>You find out early in your pregnancy if your baby has a genetic condition or birth defect.</li> <li>Information from the test can help you to: <ul><li>Decide if you want to continue your pregnancy.</li><li>Make plans to care for a baby who is sick or has a birth defect.</li><li>Choose a hospital that specializes in caring for newborns with serious health problems.</li></ul></li> </ul> </div></td><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionBenefits"> <ul> <li>You avoid the cost of CVS.</li> <li>You avoid the risks from having CVS.</li> </ul> </div></td></tr><tr><th class="HwFlatCompareOptionsQuestionCol" scope="row">What are the risks and side effects?</th><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionRisks"> <ul> <li>Possible risks include: <ul><li>A miscarriage.</li><li>An infection.</li><li>Bleeding.</li><li>An arm or leg defect in the baby.</li></ul></li> </ul> </div></td><td class="HwFlatCompareOptionsCol"><div class="HwFlatHwOptionRisks"> <ul> <li>You won't know if your baby has a severe birth defect until after he or she is born.</li> <li>Birth could be harder on you or your baby if the doctor doesn't know ahead of time that there is a problem.</li> </ul> </div></td></tr></tbody></table> <h3>Personal stories</h3> <div class="HwFlatHwAboutPersonalStories"> <h3>Personal stories about chorionic villus sampling</h3> <p> These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. </p> </div> <div id="HwFlatHwPersonalStories"> <div class="HwFlatHwPersonalStory"> <div class="HwFlatStoryBody"><p>"My doctor talked to me about the risk of having a baby with Down syndrome. I understand that at my age, the risk starts to go up. I had a second cousin with Down syndrome, so I know what that's like. I would end the pregnancy if it turned out the baby had it, so I am going to have CVS and find out."</p></div> <div class="HwFlatHwPersonalStoryIdentity"> <p>— Georgia, age 35</p> </div> </div> <div class="HwFlatHwPersonalStory"> <div class="HwFlatStoryBody"><p>"My doctor told me there is a risk of having a baby with problems because of my age. But testing wouldn't change my mind. It has taken me 5 years to get pregnant. I won't do anything that might cause me to lose the baby."</p></div> <div class="HwFlatHwPersonalStoryIdentity"> <p>— Patricia, age 39</p> </div> </div> <div class="HwFlatHwPersonalStory"> <div class="HwFlatStoryBody"><p>"My husband and I are Jewish, so we had genetic testing and found out we are both carriers of Tay-Sachs disease. We will definitely have CVS to find out if our baby has it. We want children but not if they will have that awful disease. If this pregnancy doesn't work out, we will try again."</p></div> <div class="HwFlatHwPersonalStoryIdentity"> <p>— Sabrina, age 32</p> </div> </div> <div class="HwFlatHwPersonalStory"> <div class="HwFlatStoryBody"><p>"I want to find out if my baby has any problems so I can be prepared. But no matter what, I wouldn't end the pregnancy, so I am going to wait and have amnio. I had it done with my second child. I feel more comfortable having it again instead of a different test, and I don't need to find out in the first trimester."</p></div> <div class="HwFlatHwPersonalStoryIdentity"> <p>— Coco, age 43</p> </div> </div> </div> </div></div><div class="HwFlatDecisionPointTabSection" id="HwFlatDecisionPointYourFeelings"><h3>3. What matters most to you?</h3> <p> Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. </p> <div id="HwFlatHwFactsYourOptions"> <div class="HwFlatSliderBackground"> <p class="HwFlatHwOptionTextLeft">Reasons to have CVS</p> <p class="HwFlatHwOptionTextRight">Reasons not to have CVS</p> </div><div class="HwFlatStopFloat"> </div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">I want to have the test, because I'm worried that something might be wrong with my baby.</p> <p class="HwFlatHwSliderTextRight">I'm not worried that something might be wrong with my baby.</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">I want to know if my baby has a birth defect so I have time to prepare to care for a child with special needs.</p> <p class="HwFlatHwSliderTextRight">Knowing that my baby has a birth defect won't change the way I plan to care for my child.</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">I want to know if my baby has a birth defect so I have time to decide if I want to continue my pregnancy.</p> <p class="HwFlatHwSliderTextRight">Knowing that my baby has a birth defect won't change my plans to carry my baby to term.</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">I'm not afraid of the needle or catheter that is used to do the test.</p> <p class="HwFlatHwSliderTextRight">I don't like needles or catheters.</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">I'm not worried about how much CVS costs.</p> <p class="HwFlatHwSliderTextRight">I don't have insurance, and I can't afford to pay for the test myself.</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">My other important reasons:</p> <p class="HwFlatHwSliderTextRight">My other important reasons:</p> </div><div class="HwFlatStopFloat"> </div><div class="HwFlatSliderText"> <div><table class="HwFlatCommentsTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatCommentsTableCellLeft"><span> </span></td><td class="HwFlatCommentsTableCellRight"><span> </span></td></tr></tbody></table></div> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">More important</div> <div class="HwFlatHwSliderLabelCenter">Equally important</div> <div class="HwFlatHwSliderLabelRight">More important</div> </div><div class="HwFlatStopFloat"> </div></div> </div> </div><div class="HwFlatStopFloat"> </div><div class="HwFlatDecisionPointTabSection" id="HwFlatDecisionPointYourDecision"><h3>4. Where are you leaning now?</h3> <p> Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. </p> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatHwSliderTextLeft">Having CVS</p> <p class="HwFlatHwSliderTextRight">NOT having CVS</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">Leaning toward</div> <div class="HwFlatHwSliderLabelCenter">Undecided</div> <div class="HwFlatHwSliderLabelRight">Leaning toward</div> </div><div class="HwFlatStopFloat"> </div></div> </div><div class="HwFlatDecisionPointTabSection" id="HwFlatDecisionPointQuizYourself"><h3>5. What else do you need to make your decision?</h3> <div id="HwFlatHwCheckYourFacts"> <h4> Check the facts </h4> <div class="HwFlatHwQuestionSet"> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatMultipleChoiceQuestion" id="HwFlatHwq1"> <p class="HwFlatQuestionText">1. Can a CVS test guarantee that your baby will be born healthy?</p> <div class="HwFlatHwAnswers"> <ul> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq1" value="a" id="HwFlatHwq1a"> <span class="HwFlatHwAnswerText">Yes</span> </li> <li class="HwFlatHwAnswer HwCorrectAnswer"><span class="HwSelectedOption">No</span></li> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq1" value="c" id="HwFlatHwq1c"> <span class="HwFlatHwAnswerText">I'm not sure</span> </li> </ul> </div> <div class="HwFlatSelectedAnswer" id="HwFlatSelectedAnswerHwq1"> </div><div><span class="HwAnwerResultsText">That's right. Even though CVS can find certain problems, it can't guarantee that your baby will be born healthy. No test can do that.</span></div></div> </div> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatMultipleChoiceQuestion" id="HwFlatHwq2"> <p class="HwFlatQuestionText">2. Does CVS have some risks?</p> <div class="HwFlatHwAnswers"> <ul> <li class="HwFlatHwAnswer HwCorrectAnswer"><span class="HwSelectedOption">Yes</span></li> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq2" value="b" id="HwFlatHwq2b"> <span class="HwFlatHwAnswerText">No</span> </li> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq2" value="c" id="HwFlatHwq2c"> <span class="HwFlatHwAnswerText">I'm not sure</span> </li> </ul> </div> <div class="HwFlatSelectedAnswer" id="HwFlatSelectedAnswerHwq2"> </div><div><span class="HwAnwerResultsText">That's right. CVS has some risks, including a small chance of causing a miscarriage.</span></div></div> </div> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatMultipleChoiceQuestion" id="HwFlatHwq3"> <p class="HwFlatQuestionText">3. Should all pregnant women have CVS?</p> <div class="HwFlatHwAnswers"> <ul> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq3" value="a" id="HwFlatHwq3a"> <span class="HwFlatHwAnswerText">Yes</span> </li> <li class="HwFlatHwAnswer HwCorrectAnswer"><span class="HwSelectedOption">No</span></li> <li class="HwFlatHwAnswer"> <input type="radio" name="Hwq3" value="c" id="HwFlatHwq3c"> <span class="HwFlatHwAnswerText">I'm not sure</span> </li> </ul> </div> <div class="HwFlatSelectedAnswer" id="HwFlatSelectedAnswerHwq3"> </div><div><span class="HwAnwerResultsText">That's right. CVS isn't a routine test. But your doctor may recommend CVS if your chances of having a baby with a genetic condition or birth defect are higher than average.</span></div></div> </div> </div> </div> <div id="HwFlatHwYourChoices"> <h4>Decide what's next</h4> <div class="HwFlatHwQuestionSet"> <div class="HwFlatHwQuizQuestion"> <p class="HwFlatQuestionText">1. Do you understand the options available to you?</p><div class="HwFlatInputButton HwFlatHwAnswers"><ul><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="Yes" title="YesButton" id="HwFlatHwq4a" name="Hwq4" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq4a">Yes</label></li><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="No" title="NoButton" id="HwFlatHwq4b" name="Hwq4" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq4b">No</label></li></ul></div> </div> <div class="HwFlatHwQuizQuestion"> <p class="HwFlatQuestionText">2. Are you clear about which benefits and side effects matter most to you?</p><div class="HwFlatInputButton HwFlatHwAnswers"><ul><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="Yes" title="YesButton" id="HwFlatHwq5a" name="Hwq5" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq5a">Yes</label></li><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="No" title="NoButton" id="HwFlatHwq5b" name="Hwq5" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq5b">No</label></li></ul></div> </div> <div class="HwFlatHwQuizQuestion"> <p class="HwFlatQuestionText">3. Do you have enough support and advice from others to make a choice?</p><div class="HwFlatInputButton HwFlatHwAnswers"><ul><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="Yes" title="YesButton" id="HwFlatHwq6a" name="Hwq6" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq6a">Yes</label></li><li class="HwFlatHwAnswer"><input class="HwFlatQuizRadioButton" value="No" title="NoButton" id="HwFlatHwq6b" name="Hwq6" type="radio" alt="Select if this is your answer"><label for="HwFlatHwq6b">No</label></li></ul></div> </div> </div> </div> <div id="HwFlatHwCertainty"> <h4>Certainty</h4> <div class="HwFlatHwQuestionSet"> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatHwSliderQuestion"> <div class="HwFlatSliderBackground"><div class="HwFlatSliderText"> <p class="HwFlatQuestionText">1. How sure do you feel right now about your decision?</p> </div><div class="HwFlatStopFloat"> </div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td><td class="HwFlatSliderTableCell"><span> </span></td></tr></tbody></table><div class="HwFlatSliderText"> <div class="HwFlatHwSliderLabelLeft">Not sure at all</div> <div class="HwFlatHwSliderLabelCenter">Somewhat sure</div> <div class="HwFlatHwSliderLabelRight">Very sure</div> </div><div class="HwFlatStopFloat"> </div></div> </div> </div> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatMultipleChoiceQuestion" id="HwFlatHwq8"> <p class="HwFlatQuestionText">2. Check what you need to do before you make this decision.</p> <div class="HwFlatHwAnswers"> <ul> <li class="HwFlatHwAnswer"> <input type="radio" value="a" name="Hwq8" id="HwFlatHwq8a"> <span class="HwFlatHwAnswerText">I'm ready to take action.</span> </li> <li class="HwFlatHwAnswer"> <input type="radio" value="b" name="Hwq8" id="HwFlatHwq8b"> <span class="HwFlatHwAnswerText">I want to discuss the options with others.</span> </li> <li class="HwFlatHwAnswer"> <input type="radio" value="c" name="Hwq8" id="HwFlatHwq8c"> <span class="HwFlatHwAnswerText">I want to learn more about my options.</span> </li> </ul> </div> <div class="HwFlatSelectedAnswer" id="HwFlatSelectedAnswerHwq8"> </div></div> </div> <div class="HwFlatHwQuizQuestion"> <div class="HwFlatHwConcerns"> <label class="HwFlatHwQuestionText" for="HwConcernsText">Use the following space to list questions, concerns, and next steps.</label> <div><table class="HwFlatSliderTable"><tbody><tr class="HwFlatSliderTableRow"><td class="HwFlatCommentCell"><span> </span></td></tr></tbody></table></div> </div> </div> </div> </div> </div><div class="HwFlatReferenceContainer" id="flat-tb1905-Bib"><div class="HwFlatReferenceContent"><div class="HwFlatCreditsTitle">Credits</div><table class="HwFlatCredits"><tbody><tr><th class="HwFlatCreditsColumn1" scope="row">By</th><td><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en">Ignite Healthwise, LLC Staff</a></td></tr><tr><th class="HwFlatCreditsColumn1" scope="row">Clinical Review Board</th><td><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><span><b>Clinical Review Board</b></span></a><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</td></tr></tbody></table><hr class="HwFlatReferenceHR"><div class="HwFlatReferencesContent"><div class="HwFlatReferencesTitle">References</div><div class="HwFlatCitationsTitle">Citations</div><div class="HwFlatCitationsContent"><ol> <li> <a name="abs2946"> </a>Akolekar R, et al. (2015). Procedure-related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta-analysis. Ultrasound in Obstetrics and Gynecology, 45(1): 16–26. DOI: 10.1002/uog.14636. Accessed April 5, 2017.</li> </ol></div></div></div></div><div class="HwFlatDecisionPointDisclaimer" id="HwFlatDecisionPointDisclaimer"><hr class="HwFlatDisclaimerNoteTextDivider"><span class="HwFlatDisclaimerNoteText">Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version.</span></div></div></div></div><div class="HwCustom" id="HwCustomContentBottom"> </div><div class="HwContentNavigation HwContentNavigationNoSections"><div class="HwContentNavigationNone"> </div><div class="HwContentNavigationTop"><a href="#top">Top of the page</a></div><div class="HwContentNavigationNone"> </div></div><div class="HwContentInformation HwContentInformationNoSections"><div class="HwLastUpdated"><p><span class="HwInfoLabel">Current as of: </span>April 30, 2024</p></div><div class="HwCredits"><p><span class="HwInfoLabel">Author: </span><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en">Ignite Healthwise, LLC Staff</a></p><p><a class="HwLinkDisclaimer" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><span><b>Clinical Review Board</b></span></a><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</p></div></div><div class="HwCitations" style="display:none;"><div class="HwCitation" id="abs2946-Cit">Akolekar R, et al. (2015). Procedure-related risk of miscarriage following amniocentesis and chorionic villus sampling: a systematic review and meta-analysis. Ultrasound in Obstetrics and Gynecology, 45(1): 16–26. DOI: 10.1002/uog.14636. Accessed April 5, 2017.</div></div></div></div><div class="HwColumn" id="HwColumnSidebar2"><div class="HwCustom" id="HwCustomNavigationTop"> </div><div class="HwNavigationWrapper HwNavigationEmpty"> </div><div class="HwCustom" id="HwCustomNavigationBottom"> </div></div></div></div><div class="HwBlock" id="HwFooter"><div class="HwRow"><div class="HwCustom HwColumn" id="HwCustomFooterLeft"> </div><div class="HwColumn" id="HwFooterLegal"><div class="HwLegal HwElement" role="contentinfo"><div class="HwLogo"><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en"><img class="HwNoHcMode" data-hw-resource-path="media/interface/hwlogo.png" alt="Click here to learn about Ignite Healthwise, LLC" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/interface/hwlogo.png" hw:resource-path="media/interface/hwlogo.png" hw:release-quarter="14.3"><img class="HwHcMode" data-hw-resource-path="media/interface/hwlogo_hc.png" alt="Click here to learn about Ignite Healthwise, LLC" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/interface/hwlogo_hc.png" hw:resource-path="media/interface/hwlogo_hc.png" hw:release-quarter="14.3"></a></div><div class="HwDisclaimer"><p>This information does not replace the advice of a doctor. 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