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Early prenatal diagnosis; A study of biopsy techniques and cell culturing from extraembryonic membranes
Author(s) -
Hahnemann Niels
Publication year - 1974
Publication title -
clinical genetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.543
H-Index - 102
eISSN - 1399-0004
pISSN - 0009-9163
DOI - 10.1111/j.1399-0004.1974.tb02090.x
Subject(s) - chorionic villi , amniocentesis , biopsy , medicine , obstetrics , pregnancy , fetus , products of conception , abortion , prenatal diagnosis , gynecology , pathology , biology , genetics
The study concerns the diagnosis of fetal condition early in pregnancy ‐ within the first trimester. An instrument was designed to allow biopsy of the extraembryonic membranes under visual control. The instrument was tested in 95 pregnant women prior to legal termination of pregnancy. In 28 cases, the biopsies were taken in the outpatient clinic and the patients were observed for 8 d before the pregnancy was terminated. Thirty‐eight percent of the biopsies were successful. Causes of failure were puncture or biopsy of the amniotic membrane, and bleeding which obscured vision. Biopsies were nonetheless obtained in all but four cases, and 60% contained chorionic villi. Target biopsy of chorion as chorionic villi is, however, possible, and the optimal time seems to be in the tenth week of pregnancy. Culture of biopsy material and karyotyping was successful in virtually all instances. When fetal tissue was identified in the abortion products, and cultured after subsequent termination (24 instances) karyotype determination confirmed the finding from biopsy culture cells. No maternal complications followed the procedure. The possibility is discussed that the present approach may be developed for clinical use as an alternative to transabdominal amniocentesis in the 15th. week.