Kocaaga A, Kilic H, Gulec S. The pattern of chromosomal abnormalities in recurrent miscarriages: a single center retrospective study.
Ann Saudi Med 2022;
42:385-390. [PMID:
36444924 PMCID:
PMC9706713 DOI:
10.5144/0256-4947.2022.385]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND
Chromosomal abnormalities are more common in first trimester recurrent miscarriages (RM). Chromosomal anomalies affect approximately 2%-8% of couples with RM.
OBJECTIVES
Evaluate the spectrum and the frequencies of chromosomal anomalies in RM.
DESIGN
A retrospective hospital record-based descriptive study.
SETTING
A tertiary care center in Turkey.
PATIENTS AND METHODS
We studied couples with RM between October 2020 and January 2022. Relevant family and medical history, clinical examination and the results of karyotype were statistically analyzed.
MAIN OUTCOME MEASURES
Prevalence and types of chromosomal aberrations in couples with RM. SAMPLE SİZE: 362 couples with a history of RM RESULTS: Among the 362 couples, 14 cases (3.86%) had chromosome abnormalities. Eight cases (57.14%) were structural anomalies and six cases (42.86%) were numerical chromosomal aberrations. We found five balanced translocations (67.5%) and three Robertsonian translocations (37.5%). The prevalence of polymorphic variants was 51/362 (14.1%).
CONCLUSIONS
This study supports the conclusion that clinicians should understand the importance of chromosome analysis in these couples and direct them to karyotyping after two abortions in order to exclude the possibility of a genetic cause of RM.
LIMITATIONS
Single-center study and retrospective.
CONFLICT OF INTEREST
None.
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