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Embryo Aneuploidy Screening for Unexplained Recurrent Miscarriage: A Minireview
Author(s) -
Rubio Carmen,
Pehlivan Tugce,
Rodrigo Lorena,
Simón Carlos,
Remohí Jose,
Pellicer Antonio
Publication year - 2005
Publication title -
american journal of reproductive immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.071
H-Index - 97
eISSN - 1600-0897
pISSN - 1046-7408
DOI - 10.1111/j.1600-0897.2005.00260.x
Subject(s) - recurrent miscarriage , miscarriage , aneuploidy , gynecology , pregnancy , obstetrics , in vitro fertilisation , incidence (geometry) , embryo , medicine , implantation failure , embryo transfer , products of conception , andrology , abortion , biology , infertility , genetics , chromosome , physics , gene , optics
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.