Journal article
Consanguinity and pregnancy outcomes in a multi-ethnic, metropolitan European population
Prenatal Diagnosis, Vol.35(1), pp.81-89
2015
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.
Details
- Title
- Consanguinity and pregnancy outcomes in a multi-ethnic, metropolitan European population
- Authors/Creators
- R. Becker (Author/Creator) - Center for Human GeneticsT. Keller (Author/Creator) - Acomed Statistics Leipzig GermanyR-D Wegner (Author/Creator) - Center for Human GeneticsH. Neitzel (Author/Creator) - Charité - Universitätsmedizin BerlinM. Stumm (Author/Creator) - Center for Human GeneticsU. Knoll (Author/Creator) - Center for Human GeneticsM. Stärk (Author/Creator) - Center for Human GeneticsH. Fangerau (Author/Creator) - Universität UlmA. Bittles (Author/Creator) - Murdoch University
- Publication Details
- Prenatal Diagnosis, Vol.35(1), pp.81-89
- Publisher
- John Wiley & Sons, Ltd.
- Identifiers
- 991005540876207891
- Copyright
- © 2014 John Wiley & Sons, Ltd.
- Murdoch Affiliation
- Centre for Comparative Genomics
- Language
- English
- Resource Type
- Journal article
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- 1.189 Genome Studies
- 1.189.1853 Human Genetic Diversity
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