title: [Transabdominal chorionic villus sampling using biopsy forceps or needle: pregnancy outcomes by technique used].
abstract: OBJECTIVE
  To compare pregnancy outcomes after transabdominal chorionic villus sampling using biopsy forceps or needle.
  
  
  METHODS
  Retrospective bicentric study including all women who had a transabdominal chorionic villus sampling between 2005 and 2009 (172 using biopsy forceps and 160 using needle). The primary endpoint was the rate of fetal loss, after excluding medical abortion due to the result of the biopsy. The secondary endpoint was the rate of premature rupture of the membrane. All cases were reviewed to try to determine the responsibility of the biopsy.
  
  
  RESULTS
  The pregnancy outcomes were not different between the two groups: 4 (4.4%) fetal losses in the biopsy forceps group and 6 (7.4%) in the needle group (P=0.52). Only one case (1.2%) of fetal loss can be attributed to the biopsy, using a needle, and none (0%) following a forceps biospy (P=0.29). The rate of premature rupture of the membrane was comparable in the two groups.
  
  
  CONCLUSIONS
  The pregnancy outcomes following chorionic villus sampling using a biopsy forceps or a needle seem comparable.
authors.affiliation: Service maternité, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France. Electronic address: juliettep_77@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Spallina
authors.affiliation: Maternité Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Anselem
authors.affiliation: Service maternité, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Haddad
authors.affiliation: Service maternité, centre hospitalier intercommunal de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Touboul
authors.affiliation: Maternité Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Tsatsaris
authors.affiliation: Maternité Port-Royal, 53, avenue de l'Observatoire, 75014 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Le Ray
mesh_terms: D001706:Biopsy / Q000295:instrumentation*; D001707:Biopsy, Needle; D015193:Chorionic Villi Sampling / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005313:Fetal Death; D005322:Premature Rupture of Fetal Membranes / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012189:Retrospective Studies; D013525:Surgical Instruments
keywords: Biopsie de trophoblaste; Chorionic villus sampling; Fetal loss; Perte fœtale; Premature rupture of the membrane; Rupture prématurée des membranes