Cheng HH, Ou CY, Tsai CC, Chang SD, Hsiao PY, Lan KC, Hsu TY. Chromosome distribution of early miscarriages with present or absent embryos: female predominance.
J Assist Reprod Genet 2014;
31:1059-64. [PMID:
24879519 DOI:
10.1007/s10815-014-0261-9]
[Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2014] [Accepted: 05/13/2014] [Indexed: 11/29/2022] Open
Abstract
PURPOSE
The objective of this study is to compare the chromosomal distribution of early miscarriages with or without embryonic poles.
MATERIALS AND METHODS
It was a retrospective study of 223 women who underwent dilation and curettage (D&C) between 1995 and 2013 for early miscarriages. The presence or absence of a fetal pole was evaluated by abdominal or transvaginal ultrasound. Cytogenetic tests of products of conception following culture were determined in both groups.
RESULTS
Of the 223 early miscarriages, 143 had embryos and 80 did not. The abnormality rate differed significantly (61.5 % vs. 46.3 %, p < 0.05), with trisomy 18, 21 and 45X found only in miscarriages with embryos. There were no significant differences between groups in rates of triploidy, tetraploidy, mosaicism, structure and double abnormality. The female abortus rate was higher in miscarriages with or without embryonic poles, as well as in groups with normal and abnormal karyotypes.
CONCLUSIONS
Chromosome distribution differs in miscarriages with or without embryonic poles. The ultrasound findings might offer different direction to determine the causes of early miscarriages. The higher female abortus rate may be associated with early selection.
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