First-trimester prenatal diagnosis in quintuplets: a practical approach using step-by-step embryo reduction.

Abstract:

:A multiple pregnancy of high rank may occur in a couple at risk for a Mendelian disorder. Prenatal diagnosis is hampered by the difficulty of (1) obtaining chorionic villi from each zygote and (2) unequivocally relating each sample to the corresponding embryo. The calculation of the genetic risk according to the number of zygotes led us to propose a diagnostic strategy based on embryo reduction, a technique initially designed to improve the perinatal outcome of multiple pregnancies with normal embryos. We report a case in which this approach allowed rational use of first-trimester chorionic villus sampling in a quintuplet pregnancy at risk for non-ketotic hyperglycinaemia, resulting in the selective birth of unaffected twins.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Dumez Y,Dommergues M,Lyonnet S,Tada K,Kaplan J,Mandelbrot L

doi

10.1002/pd.1970110912

subject

Has Abstract

pub_date

1991-09-01 00:00:00

pages

737-40

issue

9

eissn

0197-3851

issn

1097-0223

journal_volume

11

pub_type

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