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The risk of miscarriage in CVS is estimated to be potentially as high as 1–2%. However some recent research has suggested that only a very small number of miscarriages that occur after CVS are a direct result of the procedure. [6] Apart from a risk of miscarriage, there is a risk of infection and amniotic fluid leakage.
This is a shortened version of the eleventh chapter of the ICD-9: Complications of Pregnancy, Childbirth, and the Puerperium. It covers ICD codes 630 to 679 . The full chapter can be found on pages 355 to 378 of Volume 1, which contains all (sub)categories of the ICD-9.
Once the umbilical cord is reached and the correct position of the needle is confirmed, the fetal blood is drawn. The needle is removed after all necessary samples are taken. The site of puncture is monitored after the procedure for bleeding. Also, if the fetus is viable, fetal heart rate is monitored post-procedure for one to two hours. [9]
A vestibulectomy is a gynecological surgical procedure that can be used to treat vulvar pain, specifically in cases of provoked vestibulodynia. Vestibulodynia (vulvar vestibulitis) is a chronic pain syndrome that is a subtype of localized vulvodynia [1] where chronic pain and irritation is present in the vulval vestibule, which is near the entrance of the vagina. [2]
In this procedure, a thin needle is inserted into the abdomen of the pregnant woman. [4] The needle punctures the amnion, which is the membrane that surrounds the developing fetus. [4] The fluid within the amnion is called amniotic fluid, and because this fluid surrounds the developing fetus, it contains fetal cells. [4]
As pregnancy advances to term, the fetal membranes undergo weakening. [14] The amnion is vital in the synthesis of prostaglandins which reach the myometrium and create and initiate parturition. The chorion expresses chemicals that balance synthesis and metabolism of these prostaglandins to ensure that the myometrium is not activated pre-term.
Risks of osmotic dilator insertion include pain, [14] rupture of amniotic membranes, initiation of labor, cervical or uterine perforation, retention of the dilator, and infection. [ 8 ] [ 7 ] Original Dilapan dilators were prone to fracturing under tension during removal which sometimes led to retention of dilator fragments within the uterus. [ 8 ]
The procedure is used both after miscarriages and for abortions in the second and third trimesters of pregnancy. When used to perform an abortion, an intact D&E can occur after feticide or on a live fetus. In the United States, where federal law describes an intact D&E on a live fetus as a partial-birth abortion, [1] [2] the procedure is uncommon.