Impact of parental chromosomal polymorphisms on the incidence of congenital anomalies and perinatal complications in a cohort of newborns conceived after ICSI + PGT-A

Reprod Biol Endocrinol. 2022 Sep 27;20(1):145. doi: 10.1186/s12958-022-01012-2.

Abstract

Background: To assess the association between chromosomal polymorphisms (CPM) with congenital anomalies and perinatal complications in a cohort of newborns from couples undergoing intracytoplasmic sperm injection (ICSI), trophectoderm biopsy, and preimplantation genetic testing for aneuploidy (PGT-A).

Methods: A retrospective cohort of singletons conceived after ICSI, trophectoderm biopsy, and PGT-A cycles performed at IVIRMA clinics in Spain over 4 years was involved in the study. Newborns were classified according to the parental karyotype analysis: Group I: non-carriers, Group II: CPM carriers. Couples with chromosomal anomalies and instances when both partners were CPM carriers were excluded from the study. The groups were compared for several perinatal complications.

Results: There was a significant decrease in the number of NB with complications in the carrier group compared to the non-carriers (19.7% vs 31.9%, p = 0.0406). There were no statistical differences among the two groups regarding congenital anomalies, preterm birth, alterations in birth length and weight, cranial perimeter, Apgar test score, or sex ratio (p > 0.05).

Conclusions: Chromosomal polymorphisms appear to have no adverse effects on congenital anomalies or perinatal complications on newborns from ICSI + PGT-A cycles.

Keywords: Chromosomal polymorphisms; Congenital anomalies; ICSI; Perinatal complications; Preimplantation genetic testing.

MeSH terms

  • Aneuploidy
  • Female
  • Fertilization in Vitro / adverse effects
  • Genetic Testing
  • Humans
  • Incidence
  • Infant, Newborn
  • Male
  • Parents
  • Pregnancy
  • Premature Birth* / etiology
  • Retrospective Studies
  • Semen
  • Sperm Injections, Intracytoplasmic* / adverse effects