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  • Title: [Cytogenetic diagnosis of first trimester spontaneous abortion].
    Author: Alonso López AG, Bermejo Huerta S, Hernández Galván R, AyalaPosadas R, González del Angel A, González PG.
    Journal: Ginecol Obstet Mex; 2011 Dec; 79(12):779-84. PubMed ID: 22384531.
    Abstract:
    BACKGROUND: About 15% of all pregnancies end in abortion. In approximately 60% of all losses are chromosomal abnormalities as a cause of pregnancy loss. OBJECTIVE: To determine the importance of cytogenetic study in patients with spontaneous abortion. MATERIALS AND METHODS: A series of cases of women diagnosed with spontaneous abortion less than 12 weeks and cytogenetic studies. Two groups, one group of women with normal cytogenetics and group 2 patients with abnormal cytogenetic result. 44 patients were excluded by cytogenetic study failed. RESULTS: We included 164 women, 55 and 65 for groups 1 and 2, respectively. In 44 cases the material was not suitable for performing karyotype. Of the 120 cases included, had abnormal karyotypes in 65 cases (54%), of which 34 cases (52.3%) were trisomy, 16 cases (24.6%) to polyploidy and 9 cases (13.8%) a monosomy. In addition, we found six cases (8.7%) with recurrent pregnancy loss. The maternal age limit increased incidence of chromosomal abnormalities occurred in the group of 31 and 35 years with 20 cases (30%). Of trisomies, the 16 were the mostfrequent with 11 cases (32.3%). CONCLUSIONS: The finding of 54% of chromosomal abnormalities in spontaneous abortion products demonstrates the importance of cytogenetic study, regardless of patient age and number of previous pregnancy losses.
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