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Abstract

Chromosomal aberrations in etiology of early reproductive failure: Analysis of 233 cases (article in Czech)
Natálie Friedová, Romana Mihalová, Lenka Hrčková, Hana Kučerová, Nikola Kaspříková, Mimoza Janashia, Pavel Calda, Antonín Šípek jr.
Actual Gyn 2019, 11, 23-26
Publication date: 2019-06-07
Manuscript ID: 1119004
Number of views: 387
Abstract

Chromosomal aberrations are common cause of early miscarriage. Possible presence of chromosomal aberration may be assessed by cytogenetic examination of the aborted fetus tissue. In our study from the Institute of Biology and Medical Genetics of the First Faculty of Medicine of Charles University and General University Hospital in Prague we analysed tissue sample from 233 early spontaneous or missed abortions. In 212 cases the cultivation process was successful. Among those – we identified 52 cases with chromosomal aberration (24,5 %). Most common aberrations were – trisomy 21, monosomy X, triploidy and trisomies of chromosomes 16 and 22. Our overall incidence of aberrations was lower – compared to similar studies. According to other indicators we suppose that this may be caused by the higher incidence of maternal cells contamination – but this phenomenon cannot be completely excluded while using classical karyotyping. We also confirmed higher incidence of chromosomal aberrations in the miscarriage cases in elder mothers and furthermore we found higher incidence of aberrations in cases from higher gestation weeks. Both trends were statistically significant.

Key words: spontaneous abortions, chromosomal aberrations, infertility