Genetics, Genetic Testing, and Miscarriage

Creating a Family: Talk about Adoption & Foster Care

Have you experienced a miscarriage? What type of genetic tests should you consider to prevent another miscarriage? We will talk about Genetics, Genetic Testing, and Miscarriage with Kim Skellington, a laboratory genetic counselor with CooperGenomics providing pre-test and post-test counseling to patients regarding genetic testing, and Dr. Rachel Gerber, a board-certified Reproductive Endocrinologist and Infertility Specialist with RMA NY.
In this episode, we cover:

• What causes a woman to miscarry a pregnancy?
• How common is miscarriage?
• What is considered Recurrent Pregnancy Loss (RPL)?
• How common is recurrent pregnancy loss?
• Basic introduction to DNA, genes, and chromosomes.
• Genetic Testing of Products of Conception
  • What can go wrong with the genes of a fetus that would likely result in a miscarriage?
  • What genetic tests on the products of conception are available after a miscarriage to determine the cause?
  • At what point does a doctor consider genetic testing of the products of conception to determine the cause of the miscarriage? After the first miscarriage? Second? Third? How does a woman’s age impact this decision?
  • How are the products of conception tested? What are patients told to do?
• Genetic Testing of Embryo
  • What is preimplantation genetic testing?
  • Distinction between PGT-A, PGT-M, PGT-SR?
  • Is PGT effective at preventing miscarriage? What does the research currently show?
  • Are mosaic embryos more likely to miscarry?
• Genetic Testing of Parents
  • What parental chromosomal abnormalities can cause a miscarriage?
  • What is a chromosomal translocations and can that cause a miscarriage?
  • Is there a gene or genes that has been found that makes it more likely that a woman will miscarry a pregnancy of a chromosomally normal fetus?
  • If a woman’s mother had multiple miscarriages, is she likely to have miscarriages?
  • Can these genetic anomalies by found by Parental karyotyping?
• What is the prognosis for women trying to get pregnant after having had recurrent miscarriages?

This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:

• Weekly podcasts
• Weekly articles/blog posts
• Resource pages on all aspects of family building

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