Document Detail


An evaluation of 75 terminations of pregnancy based on abnormal laboratory findings at first trimester CVS.
MedLine Citation:
PMID:  2225529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seventy-five selective terminations, based on abnormal laboratory findings at first-trimester CVS, were performed in 1581 consecutive pregnancies. In all cases a (semi-) direct method of cytogenetic analysis was used. The 75 abortions were analysed in number of ways. Confirmatory studies showed that three cases had to be considered as false-positive findings, and in one other case the results were inconclusive. Based on literature data, it was estimated that 41 of the 75 pregnancies would have resulted in seriously handicapped children, surviving beyond the age of 1 year, if no termination of pregnancy had taken place. Negative side-effects of the procedure include: spontaneous abortion of chromosomally normal fetuses due to the CVS procedure itself and the need for a number of secondary amniocenteses (5.1%). The advantage of DNA diagnosis in X-linked diseases is illustrated by comparing the CVS results with a previously published amniocentesis study.
75 selective terminations, based on abnormal laboratory findings at 1st trimester CVS, were performed in 1581 consecutive pregnancies. In all cases, a semidirect method of cytogenetic analysis was used. The 75 abortions were analyzed in many ways. Confirmatory studies showed that 3 cases were considered false-positive findings, and in 1 other case, the results were inconclusive. Based on literature data, it was estimated that 41.75 pregnancies would have resulted in seriously handicapped children, surviving beyond 1 year of age, if no pregnancy termination had taken place. Negative side effects of the procedure include: spontaneous abortion of chromosomally normal fetuses due to the CVS procedure itself and the need for a number of secondary amniocenteses (5.1%). The advantage of DNA diagnosis in x-linked diseases is illustrated by comparing the CVS results with a previously published amniocentesis study.
Authors:
N J Leschot; H H Kanhai; C J van Asperen; H Wolf; K Boer; A C van Prooijen-Knegt; G C Christiaens; M Verjaal; E Briet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical genetics     Volume:  38     ISSN:  0009-9163     ISO Abbreviation:  Clin. Genet.     Publication Date:  1990 Sep 
Date Detail:
Created Date:  1990-12-04     Completed Date:  1990-12-04     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0253664     Medline TA:  Clin Genet     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  211-7     Citation Subset:  IM; J    
Affiliation:
Department of Human Genetics, University of Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Eugenic*
Adult
Chorionic Villi Sampling*
Chromosome Aberrations / genetics*
DNA / genetics
Female
Fragile X Syndrome / genetics
Genetic Markers / genetics
Genetic Testing*
Hemophilia A / genetics
Humans
Infant, Newborn
Karyotyping
Life Expectancy
Linkage (Genetics) / genetics
Muscular Dystrophies / genetics
Pregnancy
Retinal Degeneration / genetics
Risk Factors
X Chromosome
Chemical
Reg. No./Substance:
0/Genetic Markers; 9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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