Confined placental mosaicism at chorionic villous sampling: risk factors and pregnancy outcome.

作者: Giulia Maria Baffero , Edgardo Somigliana , Francesca Crovetto , Alessio Paffoni , Nicola Persico

DOI: 10.1002/PD.3965

关键词: Chorionic villus samplingPreeclampsiaGynecologyGestational hypertensionComplications of pregnancySmall for gestational ageMedicineConfined placental mosaicismGestational diabetesPregnancy

摘要: Objective This study aims to investigate the clinical relevance of confined placental mosaicism (CPM) detected at chorionic villous sampling (CVS) and identify risk factors for this condition. Method Women diagnosed with CPM between January 2005 December 2009 were identified. They matched women unremarkable CVS in a 1:2 ratio by period contacted phone interview. Results One hundred fifteen exposed 230 unexposed selected. Baseline characteristics did not differ groups apart from maternal body mass index, which is mildly higher group (+0.6kg/m 2 , p=0.047), age, type III (39.72.6 vs 37.13.2years, p=0.005). A frequency gestational hypertension was observed (10% 2%) (p=0.003). Small age newborns more frequent I (15% 5%, p=0.03). The incidence other main complications pregnancy (stillbirth, prematurity, preeclampsia diabetes mellitus) similar. Neonatal subsequent infant health development also differ. Conclusion diagnosis can be generally reassured regarding course development. © 2012 John Wiley & Sons, Ltd.

参考文章(35)
R. J. Wapner, J. L. Simpson, M. S. Golbus, J. M. Zachary, D. H. Ledbetter, R. J. Desnick, S. E. Fowler, L. G. Jackson, H. Lubs, R. J. Mahony, E. Pergament, G. G. Rhoads, J. D. Shulman, F. De La Cruz, Chorionic mosaicism: association with fetal loss but not with adverse perinatal outcome. Prenatal Diagnosis. ,vol. 12, pp. 347- 355 ,(1992) , 10.1002/PD.1970120504
Julie S. Fryburg, Miriam S. Dimaio, Teresa L. Yang-Feng, Maurice J. Mahoney, Follow‐up of pregnancies complicated by placental mosaicism diagnosed by chorionic villus sampling Prenatal Diagnosis. ,vol. 13, pp. 481- 494 ,(1993) , 10.1002/PD.1970130610
Beth Roland, Lauren Lynch, Gertrud Berkowitz, Randi Zinberg, Confined placental mosaicism in CVS and pregnancy outcome. Prenatal Diagnosis. ,vol. 14, pp. 589- 593 ,(1994) , 10.1002/PD.1970140713
Wendy P. Robinson, Maria S. Peñaherrera, Ruby Jiang, Luana Avila, Jennifer Sloan, Deborah E. McFadden, Sylvie Langlois, Peter von Dadelszen, Assessing the role of placental trisomy in preeclampsia and intrauterine growth restriction Prenatal Diagnosis. ,vol. 30, pp. 1- 8 ,(2010) , 10.1002/PD.2409
Francesca R Grati, Beatrice Grimi, Giuditia Frascoli, Anna Maria Di Meco, Rosaria Liuti, Silvia Milani, Anna Trotta, Francesca Dulcetti, Enrico Grosso, Monica Miozzo, Federico Maggi, Giuseppe Simoni, Confirmation of mosaicism and uniparental disomy in amniocytes, after detection of mosaic chromosome abnormalities in chorionic villi. European Journal of Human Genetics. ,vol. 14, pp. 282- 288 ,(2006) , 10.1038/SJ.EJHG.5201564
James D. Goldberg, Monica M. Wohlferd, Incidence and outcome of chromosomal mosaicism found at the time of chorionic villus sampling. American Journal of Obstetrics and Gynecology. ,vol. 176, pp. 1349- 1353 ,(1997) , 10.1016/S0002-9378(97)70356-9
D. H. Ledbetter, J. M. Zachary, J. L. Simpson, M. S. Golbus, E. Pergament, L. Jackson, M. J. Mahoney, R. J. Desnick, J. Schulman, K. L. Copeland, Y. Verlinsky, T. Yang-Feng, S. A. Schonberg, A. Babu, A. Tharapel, A. Dorfmann, H. A. Lubs, G. G. Rhoads, S. E. Fowler, F. De La Cruz, Cytogenetic results from the U.S. Collaborative Study on CVS. Prenatal Diagnosis. ,vol. 12, pp. 317- 345 ,(1992) , 10.1002/PD.1970120503
Louise Wilkins-Haug, Bradley Quade, Cynthia C. Morton, Confined placental mosaicism as a risk factor among newborns with fetal growth restriction Prenatal Diagnosis. ,vol. 26, pp. 428- 432 ,(2006) , 10.1002/PD.1430
Kiyonori Miura, Koh-ichiro Yoshiura, Shoko Miura, Tatsuro Kondoh, Naoki Harada, Kentaro Yamasaki, Yoko Fujimoto, Yoko Yamasaki, Terumi Tanigawa, Yuriko Kitajima, Takako Shimada, Atsushi Yoshida, Daisuke Nakayama, Masato Tagawa, Shuichiro Yoshimura, Joseph Wagstaff, Yoshihiro Jinno, Tadayuki Ishimaru, Norio Niikawa, Hideaki Masuzaki, Clinical outcome of infants with confined placental mosaicism and intrauterine growth restriction of unknown cause. American Journal of Medical Genetics Part A. ,vol. 140, pp. 1827- 1833 ,(2006) , 10.1002/AJMG.A.31389
D. Kalousek, F. Dill, Chromosomal mosaicism confined to the placenta in human conceptions Science. ,vol. 221, pp. 665- 667 ,(1983) , 10.1126/SCIENCE.6867735