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The Genetics of Pregnancy Failure

  • Eric J. Forman
  • Nathan Treff
  • Rebekah S. Zimmerman
Chapter

Abstract

Genetic competence is an essential component of an embryo’s ability to implant and progress to a normal delivery. This chapter will assess the known genetic factors that contribute to early embryo failure to implant or to miscarry after implantation. Much of our knowledge has been accumulated through analysis of products of conception which reveals that aneuploidy, particularly trisomy, is the leading cause of early pregnancy failure. The role of translocations and single gene disorders will also be examined. With the advent and rapid application of assisted reproductive technologies, knowledge regarding the preimplantation embryo has rapidly increased. A vast amount of historical data points toward genetic abnormalities related to advancing oocyte age as the leading contributor to early pregnancy failure. The in vitro fertilization experience with preimplantation genetic screening using a variety of technologies will be critically examined. Finally, the limitations of these technologies as well as future areas of research to improve genetic selection of embryos for IVF will be reviewed.

Keywords

Aneuploidy Translocation Single gene disorder Preimplantation genetic screening 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Eric J. Forman
    • 1
  • Nathan Treff
    • 2
    • 3
  • Rebekah S. Zimmerman
    • 4
  1. 1.Reproductive Endocrinology and InfertilityColumbia UniversityNew YorkUSA
  2. 2.Rutgers University School of MedicineNewarkUSA
  3. 3.Genomic PredictionNewarkUSA
  4. 4.Icahn School of Medicine at Mount SinaiNew YorkUSA

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