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BMJ 2005;331 (16 July), doi:10.1136/bmj.331.7509.0
Multiple factors influence the probability of structural chromosome abnormalities in a couple trying to conceive. In a nested case control study that included 279 carrier couples (cases) and 428 non-carrier couples (controls), Franssen and colleagues (p 137) identified additional independent factors: low maternal age at the time of second miscarriage, a history of three or more miscarriages, and a history of two or more miscarriages in siblings or parents of either partner. Selective chromosome analysis could reduce the number of chromosome analyses by 18%, thus lowering the costs.
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Credit: D OULLETT/PUBLIPHOTO/SPL
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