Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy

Aim. To show the importance of prenatal diagnosis of Duchenne Muscular Dystrophy (DMD) and to demonstrate the effect of DMD gene mutations on gestational outcomes. Materials and Methods. We retrospectively evaluated 89 pregnancies in 81 individuals who were referred to Hacettepe University for prena...

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Main Authors: Mehmet Sinan Beksac, Atakan Tanacan, Duygu Aydin Hakli, Gokcen Orgul, Burcu Soyak, Burcu Balci Hayta, Pervin Dincer, Haluk Topaloğlu
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2018/9718316
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author Mehmet Sinan Beksac
Atakan Tanacan
Duygu Aydin Hakli
Gokcen Orgul
Burcu Soyak
Burcu Balci Hayta
Pervin Dincer
Haluk Topaloğlu
author_facet Mehmet Sinan Beksac
Atakan Tanacan
Duygu Aydin Hakli
Gokcen Orgul
Burcu Soyak
Burcu Balci Hayta
Pervin Dincer
Haluk Topaloğlu
author_sort Mehmet Sinan Beksac
collection DOAJ
description Aim. To show the importance of prenatal diagnosis of Duchenne Muscular Dystrophy (DMD) and to demonstrate the effect of DMD gene mutations on gestational outcomes. Materials and Methods. We retrospectively evaluated 89 pregnancies in 81 individuals who were referred to Hacettepe University for prenatal diagnosis of DMD between January 2000 and December 2015. Prenatal diagnostic methods (chorionic villus sampling (CVS): 66, amniocentesis (AC): 23) were compared for test results, demographic features, and obstetric outcomes of pregnancies. The female fetuses were divided into two groups according to the DMD status (healthy or carrier) to understand the effect of DMD gene mutations on obstetric outcomes. Results. Eight prenatally diagnosed disease-positive fetuses were terminated. There was no statistically significant difference between the CVS and AC groups in terms of study variables. There were 46 male fetuses (51.6%) and 43 female fetuses (48.4%). Fifteen of the female fetuses were carriers (34.8%). Median birthweight values were statistically insignificantly lower in the carrier group. Conclusion. Pregnancies at risk for DMD should be prenatally tested to prevent the effect of disease on families and DMD carrier fetuses had obstetric outcomes similar to DMD negative female fetuses.
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institution Kabale University
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spelling doaj-art-5f53ac6c20454fb49819477845220c062025-02-03T01:20:34ZengWileyJournal of Pregnancy2090-27272090-27352018-01-01201810.1155/2018/97183169718316Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular DystrophyMehmet Sinan Beksac0Atakan Tanacan1Duygu Aydin Hakli2Gokcen Orgul3Burcu Soyak4Burcu Balci Hayta5Pervin Dincer6Haluk Topaloğlu7Division of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDivision of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Biostatistics, Hacettepe University Faculty of Medicine, Ankara, TurkeyDivision of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDivision of Perinatology, Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Medical Biology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDepartment of Medical Biology, Hacettepe University Faculty of Medicine, Ankara, TurkeyDivision of Neurology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, TurkeyAim. To show the importance of prenatal diagnosis of Duchenne Muscular Dystrophy (DMD) and to demonstrate the effect of DMD gene mutations on gestational outcomes. Materials and Methods. We retrospectively evaluated 89 pregnancies in 81 individuals who were referred to Hacettepe University for prenatal diagnosis of DMD between January 2000 and December 2015. Prenatal diagnostic methods (chorionic villus sampling (CVS): 66, amniocentesis (AC): 23) were compared for test results, demographic features, and obstetric outcomes of pregnancies. The female fetuses were divided into two groups according to the DMD status (healthy or carrier) to understand the effect of DMD gene mutations on obstetric outcomes. Results. Eight prenatally diagnosed disease-positive fetuses were terminated. There was no statistically significant difference between the CVS and AC groups in terms of study variables. There were 46 male fetuses (51.6%) and 43 female fetuses (48.4%). Fifteen of the female fetuses were carriers (34.8%). Median birthweight values were statistically insignificantly lower in the carrier group. Conclusion. Pregnancies at risk for DMD should be prenatally tested to prevent the effect of disease on families and DMD carrier fetuses had obstetric outcomes similar to DMD negative female fetuses.http://dx.doi.org/10.1155/2018/9718316
spellingShingle Mehmet Sinan Beksac
Atakan Tanacan
Duygu Aydin Hakli
Gokcen Orgul
Burcu Soyak
Burcu Balci Hayta
Pervin Dincer
Haluk Topaloğlu
Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
Journal of Pregnancy
title Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
title_full Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
title_fullStr Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
title_full_unstemmed Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
title_short Gestational Outcomes of Pregnant Women Who Have Had Invasive Prenatal Testing for the Prenatal Diagnosis of Duchenne Muscular Dystrophy
title_sort gestational outcomes of pregnant women who have had invasive prenatal testing for the prenatal diagnosis of duchenne muscular dystrophy
url http://dx.doi.org/10.1155/2018/9718316
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