Fetal karyotyping in adolescent pregnancies: a population-based cohort study on outcomes of invasive prenatal testing

TL;DR

This study examines chromosomal abnormalities and diagnostic outcomes in adolescent pregnancies compared to older women.

Contribution

The study provides population-based data on chromosomal abnormalities and invasive testing outcomes in adolescent pregnancies.

Findings

Trisomies were less common in adolescents compared to older age groups.

Turner syndrome was more prevalent in adolescents than in women aged 20–34 or ≥35.

Adolescents had higher risks of unspecified fetal sex and culture failure during testing.

Abstract

Adolescent pregnancies present unique challenges in prenatal diagnostics, yet data on the prevalence and types of chromosomal abnormalities in this population remain limited.

This study aimed to assess the prevalence and spectrum of chromosomal abnormalities and evaluate the effectiveness of invasive prenatal diagnostic procedures.

A retrospective cohort study analyzed data from invasive prenatal diagnostic procedures (amniocentesis and transabdominal chorionic villus sampling) and fetal karyotyping in adolescent pregnancies, comparing them with data obtained from pregnancies in older women.

Abnormal karyotype prevalence varied by age. Trisomies were least frequent in adolescents (5.9%) vs. women 20–34 (9.3%) and ≥35 years (12.1%). Turner syndrome was more common in adolescents (4.6%) than in women 20–34 (2.8%) or ≥35 years (0.1%). Adolescents had a higher risk of unspecified fetal sex (RR = 2.25, 95% CI: 1.16–4.35) and culture failure (RR = 4.32, 95% CI: 2.07–9.00). Ultrasound abnormalities were the main reason for invasive testing (86.3%, p < 0.001). More chorionic villus sampling procedures were needed per abnormal karyotype in adolescents (3.25) vs. women 20–34 (2.42) or ≥35 years (2.19), while fewer amniocenteses were required (6.68 vs. 7.37 and 8.44).

Adolescents show unique chromosomal abnormalities, underscoring the need for tailored prenatal counseling and diagnostics.

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