COMPARISON OF CHROMOSOME ANALYSIS, FACTOR V LEIDEN, AND PROTHROMBIN G20210A MUTATION RESULTS ACCORDING TO THE NUMBER OF PREGNANCY LOSSES IN RECURRENT PREGNANCY LOSS


Ozkalayci H., KOCABEY M.

MEANDROS MEDICAL AND DENTAL JOURNAL, cilt.26, sa.1, ss.56-62, 2025 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.69601/meandrosmdj.1570237
  • Dergi Adı: MEANDROS MEDICAL AND DENTAL JOURNAL
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.56-62
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Objective: Recurrent pregnancy loss is defined as the loss of two or more pregnancies in some sources, or three or more in others, before 20-24 weeks of gestation. The causes being investigated include parental chromosomal abnormalities and hereditary thrombophilia. We aimed to reveal the frequency of parental chromosome abnormalities, Prothrombin G20210A mutations (PGM), and Factor V Leiden (FVL) in couples presenting with recurrent pregnancy losses and to test whether there is a significant difference between two and more than two pregnancy losses. Materials and Methods: A total of 171 couples who presented to the Medical Genetics outpatient clinics of two tertiary hospitals located in Bolu and Hatay provinces due to a history of recurrent pregnancy loss were evaluated. Demographic data, medical and family history, chromosomal analysis results of the couples, and FVL and PGM results of the women were recorded. Results: We detected chromosomal abnormalities in 2.9% of those evaluated. Factor V Leiden frequency was found to be 11.5% and PGM frequency was 3%. No statistically significant distinction was obtained between the groups, categorized as those with two and more than two pregnancy losses, in terms of the occurrence of chromosomal abnormalities (p=0.65), FVL (p=0.58), and PGM (p=0.65). Conclusion: A similar approach to requesting a test can be taken for both patient groups. Due to the limited number of patients, a meta-analysis of this result with other case series in Turkey would be beneficial.