Chromosomal prenatal diagnosis: study of 936 cases of intrauterine abnormalities after ultrasound assessment.

Abstract:

:Nine hundred and thirty-six prenatal chromosomal analyses were performed by four cytogenetic centres after ultrasound diagnosis of fetal abnormalities, amniotic fluid disorders, fetal growth retardation, and fetal or placental abnormalities. During the same period, 6515 fetal karyotypes were analysed because of maternal age. Frequencies of chromosomal aberrations in each case were respectively 4.4, 6.7 and 15.8 per cent, compared with 3.18 per cent when the fetal karyotype was performed because of maternal age. High rates of chromosomal aberrations are observed in cases of cervical hygroma, limb abnormalities, omphaloceles, duodenal stenosis, hydrocephalus, and facial abnormalities. In the case of polymalformations, this rate was 29.2 per cent. When malformations were seen together with an amniotic fluid disorder or growth retardation, 21.5 per cent chromosomal aberrations were observed. This frequency was 10.4 per cent when growth retardation was associated with an amniotic fluid disorder. Trisomy 13, 18, 21 and monosomy X accounted for 4/5 of all abnormalities in which we observed a high rate of triploidies (4.9 per cent) and balanced (3.3 per cent) or unbalanced (9.8 per cent) non-Robertsonian structural abnormalities. Sonographic ascertainment of these aberrations and prenatal characteristics of major anomalies are discussed.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Eydoux P,Choiset A,Le Porrier N,Thépot F,Szpiro-Tapia S,Alliet J,Ramond S,Viel JF,Gautier E,Morichon N

doi

10.1002/pd.1970090405

subject

Has Abstract,Author List Incomplete

pub_date

1989-04-01 00:00:00

pages

255-69

issue

4

eissn

0197-3851

issn

1097-0223

journal_volume

9

pub_type

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