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PAPERS:
Maureen T M Franssen, Johanna C Korevaar, Nico J Leschot, Patrick M M Bossuyt, Alida C Knegt, Klasien B J Gerssen-Schoorl, Cokkie H Wouters, Kerstin B M Hansson, Ron Hochstenbach, Kamlesh Madan, Fulco van der Veen, and Mariette Goddijn
Selective chromosome analysis in couples with two or more miscarriages: case-control study
BMJ 2005; 331: 137-141 [Abstract] [Full text]
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[Read Rapid Response] An Alternative Therapy
Jonathon Weber   (21 July 2005)

An Alternative Therapy 21 July 2005
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Jonathon Weber,
Undergraduate Student (Genetics)
53705

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Re: An Alternative Therapy

As a student in genetics, I would like to thank the authors of this paper for this analysis: that the correlation of maternal age, family history as well as having suffered two or more miscarriages being an indication for a couple to be carriers of chromosomal abnormalities.

Was transvaginal sonography the method by which all of the females were clinically diagnosed for complete miscarriages?

Pre-implantation genetic testing is an alternative therapy that can be used for couples that have had two or more miscarriages. This way the 0.5% to 10.2% chance of having a chromosome abnormality could be lowered including the risk of having a child with Tuner syndrome, Down syndrome, trisomy 18 and 13. However, would instigating pre-implantation genetic testing for all couples who have had two or more miscarriages going to help drive down the cost of medical care?

Competing interests: None declared