Chromosomal anomaly spectrum in early pregnancy loss in relation to presence or absence of an embryonic pole

Abstract

To compare the cytogenetic findings in a series of missed miscarriages evaluated by chorionic villus sampling, in relation to embryonic pole presence (embryonic or anembryonic). Prospective cross-sectional study. Tertiary referral hospital. Women presenting with a missed miscarriage. Transcervical chorionic villus sampling and cytogenetic studies in the chorionic villi with use of the semidirect method. Embryonic pole presence or absence assessed by transvaginal ultrasound examination. Type of chromosomal anomalies found in both subgroups. Although the chromosomal abnormality rate was similar for miscarriages with absent or present embryo (61% vs. 68% respectively), frequencies for viable autosomal trisomies (2.3% vs. 19%) and monosomy X (0% vs. 9.2%) were significantly lower when no embryonic pole was seen. Viable autosomal trisomies and monosomies X appear not to be a common cause of miscarriage with an early fetal demise (anembryonic miscarriage).