Hum. Reprod. Advance Access originally published online on December 2, 2008
Human Reproduction 2009 24(2):470-476; doi:10.1093/humrep/den402
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Two-year auxological and medical outcome of singletons born after embryo biopsy applied in preimplantation genetic diagnosis or preimplantation genetic screening
1 Centre for Medical Genetics, UZBrussel, Brussels, Belgium 2 Department of Endocrinology, Children’s Hospital, UZBrussel, Brussels, Belgium 3 Department of Developmental and Lifespan Psychology, Vrije Universiteit Brussel, Brussels, Belgium 4 Centre for Reproductive Medicine, UZBrussel, Brussels, Belgium
5 Correspondence address. E-mail: sonja.desmyttere{at}uzbrussel.be
BACKGROUND: Embryo biopsy is an essential but invasive procedure to perform preimplantation genetic diagnosis (PGD) or preimplantation genetic screening (PGS). The major objective of this study was to determine whether embryo biopsy might cause post-natal growth restriction.
METHODS: We compared growth data and physical findings at birth and 2 years for singletons born either after PGD/PGS (n = 70), ICSI (n = 70) or natural conception (NC) (n = 70). Children were matched for gender, maternal educational level, mother tongue and birth order.
RESULTS: No significant differences were found between the three groups regarding weight, height and head circumference standard deviation scores (SDS) at birth and at age 2 years, although the PGD/PGS children tended to have a lower birthweight compared with the NC children. At 2 years, the mean BMI SDS in PGD/PGS children was significantly lower compared with NC children (P = 0.005). PGD/PGS children were more frequently born after Caesarian section than ICSI children, but had no more congenital malformations, hospital admissions and surgical interventions compared with ICSI and NC children.
CONCLUSIONS: Singleton children at age 2 years born after embryo biopsy applied in PGD/PGS present a similar post-natal linear growth compared with ICSI and NC children. PGD/PGS singletons appear not to be at higher risk for congenital malformations and surgical interventions during the first 2 years of life. To date, there have been no observable detrimental effects of the PGD/PGS procedure on children.
Key words: embryo biopsy/PGD/preimplantation genetic screening/post-natal growth/children
Submitted on January 22, 2008; resubmitted on October 11, 2008; accepted on October 15, 2008.
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