Consensus on Training and Assessment of Competence in Performing Chorionic Villus Sampling and Amniocentesis: An International Delphi Survey

2021 ◽  
pp. 1-18
Author(s):  
Vilma Johnsson ◽  
Martin Tolsgaard ◽  
Jon Hyett ◽  
Ulrich Gembruch ◽  
Rory Windrim ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Chorionic Villus ◽  
Steering Committee ◽  
Chorionic Villus Sampling ◽  
Fetal Medicine ◽  
Nontechnical Skills ◽  
Post Procedure ◽  
Competency Based ◽  
Overall Performance ◽  
Assessment Of Competence

<b><i>Introduction:</i></b> The aim of this study was to obtain expert consensus on the content of a curriculum for learning chorionic villus sampling (CVS) and amniocentesis (AC) and the items of an assessment tool to evaluate CVS and AC competence. <b><i>Methods:</i></b> We used a 3-round iterative Delphi process. A steering committee supervised all processes. Seven international collaborators were identified to expand the breadth of the study internationally. The collaborators invited fetal medicine experts to participate as panelists. In the first round, the panelists suggested content for a CVS/AC curriculum and an assessment tool. The steering committee organized and condensed the suggested items and presented them to the panelists in round 2. In the second round, the panelists rated and commented on the suggested items. The results were processed by the steering committee and presented to the panelists in the third round, where final consensus was obtained. Consensus was defined as support by more than 80% of the panelists for an item. <b><i>Results:</i></b> Eighty-six experts agreed to participate in the study. The panelists represented 16 countries across 4 continents. The final list of curricular content included 12 theoretical and practical items. The final assessment tool included 11 items, systematically divided into 5 categories: pre-procedure, procedure, post-procedure, nontechnical skills, and overall performance. These items were provided with behavioral scale anchors to rate performance, and an entrustment scale was used for the final overall assessment. <b><i>Conclusion:</i></b> We established consensus among international fetal medicine experts on content to be included in a CVS/AC curriculum and on an assessment tool to evaluate CVS/AC skills. These results are important to help transition current training and assessment methods from a time- and volume-based approach to a competency-based approach which is a key step in improving patient safety and outcomes for the 2 most common invasive procedures in fetal medicine.

878 Can maternal-fetal medicine fellows safely perform chorionic villus sampling procedures in ongoing pregnancies?

2021 ◽  
Vol 224 (2) ◽  
pp. S545
Author(s):  
Christiana Bitas ◽  
Julie M. Stone ◽  
Mohak Mhatre ◽  
Alexandra Spadola ◽  
George Graham ◽  
...  
Keyword(s):  
Chorionic Villus ◽  
Chorionic Villus Sampling ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Sampling Procedures

Chorionic Villus Sampling in Assisted Versus Spontaneous Conception Twins

2015 ◽  
Vol 38 (04) ◽  
pp. 437-442 ◽  
Author(s):  
Georgios Daskalakis ◽  
Panagiotis Antsaklis ◽  
Kleanthi Gourounti ◽  
Mariana Theodora ◽  
Michail Sindos ◽  
...  
Keyword(s):  
Pregnancy Loss ◽  
Loss Rate ◽  
Chorionic Villus ◽  
Control Group ◽  
Chorionic Villus Sampling ◽  
Fetal Medicine ◽  
Spontaneous Conception ◽  
Assisted Reproduction Technology ◽  
Tertiary Center ◽  
Twin Pregnancies

Abstract Purpose To compare the outcome of chorionic villus sampling (CVS) in twin pregnancies following assisted reproduction technology (ART) versus twins that have been conceived spontaneously. Materials and Methods Retrospective analysis of dichorionic twin pregnancies that underwent CVS between 1986 and 2013 at our department which is a tertiary center for fetal medicine. 32 twin pregnancies after ART and 130 spontaneously conceived twin pregnancies, which underwent CVS, were analyzed. Results No difference was observed in the pregnancy loss rate between the two groups (0 % in the ART group vs. 3 % in the spontaneous twins group). The rate of preterm delivery before 28 weeks was higher in the ART group (18.8 %) compared to the control group (1.6 %). The perinatal mortality rate was similar in the two groups. Conclusion The pregnancy loss rate following CVS is similar in ART twins and in spontaneous twins. However, the risk of prematurity before 28 weeks is significantly higher in the ART group.

scholarly journals Revisiting the challenges of training Maternal Fetal Medicine fellows in chorionic villus sampling

2016 ◽  
Vol 215 (6) ◽  
pp. 777.e1-777.e4 ◽  
Author(s):  
Barrie G. Suskin ◽  
Anthony M. Sciscione ◽  
Nickolas Teigen ◽  
Thomas C. Jenkins ◽  
Ronald J. Wapner ◽  
...  
Keyword(s):  
Chorionic Villus ◽  
Chorionic Villus Sampling ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

Transcervical chorionic villus sampling in a low‐cost simulation model: Learning curve of maternal‐fetal medicine fellows in Mexico

2019 ◽  
Vol 147 (1) ◽  
pp. 127-128 ◽  
Author(s):  
Mario Isaac Lumbreras‐Marquez ◽  
Erick Jesus Reyes‐Zamora ◽  
Juan Manuel Gallardo‐Gaona ◽  
Berenice Velazquez‐Torres ◽  
Jose Antonio Ramirez‐Calvo ◽  
...  
Keyword(s):  
Learning Curve ◽  
Simulation Model ◽  
Low Cost ◽  
Chorionic Villus ◽  
Chorionic Villus Sampling ◽  
Model Learning ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Cost Simulation

Transabdominal and Transcervical Chorionic Villus Sampling Models to Teach Maternal-Fetal Medicine Fellows

2012 ◽  
Author(s):  
Dennis McWeeney ◽  
Wade Schwendemann ◽  
Joshua Nitsche ◽  
Carl Rose ◽  
Norman Davies ◽  
...  
Keyword(s):  
Chorionic Villus ◽  
Chorionic Villus Sampling ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

Dual and multiple trisomies: analysis of 38 cases from 13 thousand karyotyped embryos and fetuses

2017 ◽  
pp. 109-115
Author(s):  
N.P. Veropotvelyan ◽  
Keyword(s):  
Prenatal Diagnosis ◽  
High Risk ◽  
Pregnant Women ◽  
Maternal Age ◽  
Chromosomal Abnormalities ◽  
Chorionic Villus ◽  
Primary Group ◽  
Chorionic Villus Sampling ◽  
Missed Abortion ◽  
Reproductive Losses

The study presents data of different authors, as well as its own data on the frequency of multiple trisomies among the early reproductive losses in the I trimester of pregnancy and live fetuses in pregnant women at high risk of chromosomal abnormalities (CA) in I and II trimesters of gestation. The objective: determining the frequency of occurrence of double (DT) and multiple trisomies (MT) among the early reproductive losses in the I trimester of pregnancy and live fetuses in pregnant women at high risk of occurrence of HA in I and II trimesters of gestation; establishment of the most common combinations of diesel fuel and the timing of their deaths compared with single regular trisomy; comparative assessment materinskogo age with single, double and multiple trisomies. Patients and methods. During the period from 1997 to 2016, the first (primary) group of products in 1808 the concept of missed abortion (ST) of I trimester was formed from women who live in Dnepropetrovsk, Zaporozhye, Kirovograd, Cherkasy, Kherson, Mykolaiv regions. The average term of the ST was 8±3 weeks. The average age of women was 29±2 years. The second group (control) consisted of 1572 sample product concepts received during medical abortion in women (mostly residents of Krivoy Rog) in the period of 5-11 weeks of pregnancy, the average age was 32 years. The third group was made prenatally karyotyped fruits (n = 9689) pregnant women with high risk of HA of the above regions of Ukraine, directed the Centre to invasive prenatal diagnosis for individual indications: maternal age, changes in the fetus by ultrasound (characteristic malformations and echo markers HA) and high risk of HA on the results of the combined prenatal screening I and II trimesters. From 11 th to 14 th week of pregnancy, chorionic villus sampling was performed (n=1329), with the 16th week – platsentotsentez (n=2240), 18 th and 24 th week – amniocentesis (n=6120). Results. A comparative evaluation of maternal age and the prevalence anembriony among multiple trisomies. Analyzed 13,069 karyotyped embryonic and fetal I-II trimester of which have found 40 cases of multiple trisomies – 31 cases in the group in 1808 missed abortion (2.84% of total HA), 3 cases including 1 572 induced medabortov and 7 cases during 9689 prenatal research (0.51% of HA). Determined to share the double trisomies preembrionalny, fetal, early, middle and late periods of fetal development. Conclusion. There were no significant differences either in terms of destruction of single and multiple trisomies or in maternal age or in fractions anembrionalnyh pregnancies in these groups. Key words: multiple trisomies, double trisomy, missed abortion, prenatal diagnosis.

Early ultrasound prenatal diagnosis of the Meckel — Gruber syndrome in combination with 47,XYY

2018 ◽  
Author(s):  
N.P. Veropotvelyan , E.S. Savarovskaya , T.V. Usenko
Keyword(s):  
Prenatal Diagnosis ◽  
Chorionic Villus ◽  
Autosomal Recessive Disorder ◽  
Chorionic Villus Sampling ◽  
Previous Pregnancy ◽  
Cystic Kidneys ◽  
Occipital Encephalocele ◽  
Posterior Fossa Cyst ◽  
The Family ◽  
Hands And Feet

Meckel — Gruber syndrome (MGS) is a rare lethal autosomal recessive disorder characterised by occipital encephalocele, polydactyly and bilateral dysplastic cystic kidneys. A case of prenatal diagnosis of MGS at 12 weeks of gestation is described. The previous pregnancy was terminated at 20 weeks due to polycystic kidneys of the fetus. The transabdominal scan of the present pregnancy revealed occipital encephalocele of the fetus. There was no oligohydramnios, but the fetal urinary bladder was not visualised and both kidneys were enlarged. The transvaginal sonogram demonstrated intracranial space dilatation (6 mm) and encepalocele with posterior fossa cyst, protrunding from the occipital bone deffect. The kidneys had the polycystic structure suggesting cystic dysplasia and there was no evidence of the hands and feet polydactyly. Based on these findings the diagnosis of the MGS was made. Chorionic villus sampling revealed 47,XYY. The family elected to terminate pregnancy and the diagnosis was confirmed by autopsy.

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