Fruit of the Womb
Fruit of the Womb

Grand Rounds 4.27 at Monash Medical Student

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Many thanks to Jeffrey Leow at Monash Medical Student for the hard work in putting together a great collection of Grand Rounds offerings. Thanks also for including a link to my recent post that reviewed Chromosomal Mosaicism Detected at the Time of Chorionic Villus Sampling.

Not only is the decision to have invasive diagnostic testing done during early pregnancy a difficult one, but sometimes the results aren't as straightforward as we would like them to be. Such is the case with chromosomal mosaicism. When counseling prior to performing the procedure is done, these subtleties are often left out of the discussion because "the patient can only digest so much at one time." Admittedly, it is a complex subject, but it does occur in 1-2% of cases, so it is a 'risk' that sooner or later will have to be confronted by any provider who performs CVS. The finding of mosaicism creates incredible uncertainty and anxiety and may lead a pregnant woman to harder decisions, more invasive procedures, and lingering doubt about the baby's outcome, even when follow-up results are reassuring, that can haunt her until after the baby is born...
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About the Author

Dr. Trofatter is an expert on maternal-fetal medicine.

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