Health and developmental outcome of children following prenatal diagnosis of confined placental mosaicism.
OBJECTIVE
To determine the long-term health and development of a cohort of children in whom confined placental mosaicism (CPM) was diagnosed at prenatal diagnosis.


METHODS
A retrospective cohort study was performed comparing 36 children in whom CPM had been diagnosed prenatally with 195 controls subjects in whom a normal karyotype had been detected prenatally. Data comprising birth information, health, health service utilisation, growth, development, behaviour, and the family were collected by a maternal questionnaire administered when the subjects were aged between 4 and 11 years.


RESULTS
CPM cases did not differ from controls across a broad range of health measures and there were no major health problems or birth defects among the CPM group. No increase was detected in the incidence of intrauterine growth retardation (IUGR) among CPM cases; however, postnatal growth was reduced compared with controls (p = 0.047). Development and behaviour in CPM cases was similar to that of controls.


CONCLUSIONS
The prenatal diagnosis of CPM is not associated with an increased risk of birth defects or developmental problems, but may be associated with decreased growth.
Murdoch Children's Research Institute, Royal Children's Hospital, Parkville 3052, Victoria, Australia. david.amor@mcri.edu.au
David J
DJ
Amor
Wee Thong
WT
Neo
Elizabeth
E
Waters
Helen
H
Heussler
Mark
M
Pertile
Jane
J
Halliday
D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000453:epidemiology / Q000235:genetics; D002658:Developmental Disabilities / Q000175:diagnosis / Q000453:epidemiology / Q000235:genetics; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis* / Q000453:epidemiology* / Q000235:genetics; D006304:Health Status; D006801:Humans; D015994:Incidence; D008297:Male; D009030:Mosaicism; D010920:Placenta; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology* / Q000235:genetics; D011296:Prenatal Diagnosis; D012189:Retrospective Studies; D012307:Risk Factors