Chromosome abnormalities in 150 couples with multiple spontaneous abortions

Abstract

One hundred fifty consecutive couples with recurrent abortions with or without fetal deaths, malformations, or healthy infants were evaluated cytogenetically with a G-band method. Seven couples (4.7%) showed a chromosome aberration in one partner (5 translocations, 1 inversion, and 1 gonosomal mosaicism). Of the couples with a pure abortion history, 2.9% had a chromosomal abnormality. A high incidence of chromosomal rearrangements in the groups of couples with abortions plus fetal deaths or malformations was found. In contrast to other reports, a high incidence of cytogenetic abnormalities was also found in couples with abortions and healthy infants. Chromosome analysis is advocated as a primary tool in the evaluation of couples with repetitive fetal wastage.