Jameel T, Rashid Y, Anwar M, Sultana N, Waqar M, Saleem M.
Down`s syndrome: prospects for prevention by antenatal diagnosis.
J Pak Med Assoc Jan ;49(3):60-3.

The results of a prospective study on cytogenetic analysis of Chorionic Villus Samples (CVS) taken in early pregnancy (after 10 weeks) from pregnant ladies aged between 22 and 50 years are being presented. OBJECTIVE: To find out the prevalence of chromosomal defects with advancing age of the mother. SETTING: Department of Medical Genetics, Armed Forces Institute of Pathology, Rawalpindi. METHODS: A total of 48 samples have been studied. Ten patients were above the age of 35 years and 38 were below the age of 35 years. Chorionic villus samples were obtained after 10th week of pregnancy through transabdominal approach. Cytogenetic cultures were set up both by the direct and routine methods. RESULTS: Three out of the seven samples taken from expecting mothers aged above 35 and one culture from a patient aged less than 35, showed trisomy 21. CONCLUSION: This study highlights the fact that incidence of chromosomal aberrations and the Down`s syndrome in particular, increases with the advancing maternal age. Prenatal studies can therefore be utilized to decrease the incidence of various chromosomal abnormalities.

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