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Embryo aneuploidy screening for unexplained recurrent miscarriage: a minireview. American journal of reproductive immunology (New York, N.Y. : 1989) [Am J Reprod Immunol] Journal article

 
Rubio C, Pehlivan T, Rodrigo L, Simón C, Remohí J, Pellicer A 
Embryo aneuploidy screening for unexplained recurrent miscarriage: a minireview. [Journal Article, Review]
Am J Reprod Immunol 2005 Apr; 53(4):159-65.


PROBLEM: The aim of this study was to investigate the incidence of chromosomal abnormalities in unexplained recurrent miscarriage (RM) patients and assess the role of pre-implantation genetic diagnosis (PGD) in preventing subsequent pregnancy loss and improving pregnancy outcome.
METHOD OF STUDY: Pre-implantation genetic diagnosis was performed in 241 RM cycles and in 35 cycles in patients undergoing PGD for sex-linked diseases (control group). Chromosomes 13, 16, 18, 21, 22, X and Y were analysed by fluorescence in situ hybridization.
RESULTS: The implantation and pregnancy rates in RM patients were 26.4 and 36.5% versus 20.6 and 29.0% in the control group, respectively. The percentage of abnormal embryos was significantly increased in RM patients compared with controls.
CONCLUSIONS: Recurrent miscarriage is associated with a higher incidence of chromosomally abnormal embryos. In vitro fertilization (IVF) plus PGD is an important step in the management of these couples.



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