Amniocentesis and chorionic villus sampling have been shown through pr
ospective, multicenter trials to be safe and effective methods of pren
atal diagnosis; accordingly, a knowledge of these tests is important f
or those physicians who care for women during their childbearing years
. We review the indications, techniques, safety, accuracy, and efficac
y of amniocentesis and chorionic villus sampling and compare the advan
tages and disadvantages of each diagnostic test. This review should en
able physicians to provide appropriate counseling and information to w
omen at increased risk for fetal abnormalities detectable by either of
these procedures.