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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
GARDUNO-ZARAZUA, Luz M. et al. Chromosome analysis of 303 pregnancy losses in Mexico. Gac. Méd. Méx [online]. 2024, vol.160, n.1, pp.81-91. Epub Mar 26, 2024. ISSN 2696-1288. https://doi.org/10.24875/gmm.23000396.
Background:
Chromosomal abnormalities are present in 50 to 60 % of miscarriages and in 6 to 19 % of stillbirths. Although microarrays are preferred for studying chromosomal abnormalities, many hospitals cannot offer this methodology.
Objective:
To present the results of the cytogenetic analysis of 303 products of conception (POC), which included 184 miscarriages, 49 stillbirths and 17 cases of undefined age.
Material and methods:
Karyotyping, fluorescence in situ hybridization, short tandem repeats and microarrays were used, depending on the type of loss and available sample.
Results:
In 29 POCs we found maternal tissue and were eliminated from the analyses. Informative results were obtained in 250 (91.2 %)/274 cases; the karyotyping success rate was 80.7 %; that of single nucleotide polymorphism microarrays, 94.5 %; and that of fluorescence in situ hybridization and short tandem repeat, 100 %. Cytogenetic abnormalities were observed in 57.6 % of miscarriages and in 24.5 % of stillbirths; 94 % of total anomalies were numerical and 6 % were submicroscopic.
Conclusions:
Karyotyping with simultaneous short tandem repeat study to rule out contamination of maternal cells is effective for studying miscarriages; in stillbirths, microarrays are recommended.
Keywords : Miscarriage; Karyotype; Fluorescence in situ hybridization; Microarray; Stillbirth; Short tandem repeats.