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Consanguinity and pregnancy outcomes in a multi-ethnic, metropolitan European population
Journal article   Open access   Peer reviewed

Consanguinity and pregnancy outcomes in a multi-ethnic, metropolitan European population

R. Becker, T. Keller, R-D Wegner, H. Neitzel, M. Stumm, U. Knoll, M. Stärk, H. Fangerau and A. Bittles
Prenatal Diagnosis, Vol.35(1), pp.81-89
2015
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Abstract

Objective The aim of the present study was to assess the risk of major anomalies in the offspring of consanguineous couples, including data on the prenatal situation. Methods Over 20 years (1993–2012), 35 391 fetuses were examined by prenatal sonography. In 675 cases (1.9%), parents were consanguineous, with 307 couples (45.5%) related as first cousins, 368 couples (54.5%) beyond first cousins. Detailed information was retrieved on 31 710 (89.6%) fetuses, (consanguineous 568: 1.8%). Results Overall prevalence of major anomalies among fetuses with non-consanguineous parents was 2.9% (consanguineous, 10.9%; first cousins, 12.4%; beyond first cousins, 6.5%). Adjusting the overall numbers for cases having been referred because of a previous index case, the prevalences were 2.8% (non-consanguineous) and 6.1% (consanguineous) (first cousin, 8.5%; beyond first cousin, 3.9%). Further adjustment for differential rates of trisomic pregnancies indicated 2.0%/5.9% congenital anomalies (non-consanguineous/consanguineous groups), that is, a consanguinity-associated excess of 3.9%, 6.1% in first cousin progeny and 1.9% beyond first cousin. Conclusions The prevalence of major fetal anomalies associated with consanguinity is higher than in evaluations based only on postnatal life. It is important that this information is made available in genetic counselling programmes, especially in multi-ethnic and multi-religious communities, to enable couples to make informed decisions.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.189 Genome Studies
1.189.1853 Human Genetic Diversity
Web Of Science research areas
Genetics & Heredity
Obstetrics & Gynecology
ESI research areas
Clinical Medicine
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