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This book is designed primarily for anatomic pathologists to
facilitate their task of accurately diagnosing embryos and fetuses.
A detailed examination of the products of spontaneous and induced
abortions is necessary for accurate genetic counseling and for
establishing the risk for specific abnormalities or another
spontaneous pregnancy loss in the future. The growing interest in
the defects of early development reflects the profound change in
general life-style. In the past, spontaneous abortions were
considered a common, usually sporadic event in a patient's
reproductive history. Only reassurance and encour agement were
given to the patient and scant attention was paid to the detailed
pathology of the abortus. Nowadays, however, as a result of
reliable methods of contraception and of the availability of
reliable prenatal diagnosis for chromosome abnormalities more
frequent in advanced maternal age, significant numbers of parents
plan to have pregnan cies later in their reproductive life.
Consequently, in a case of spontaneous abortion, the question of
"cause" and of "future risk" of recurrence of abortion or an
abnormal infant is particularly important. In the era of more
elaborate and accurate prenatal diagnostic tests, the pathologist
examining products of conception has a primary responsibility to
detect, in both spontaneous and induced abortions, any
developmental abnormality that would indicate an increased risk of
multifactorial, chromosomal, and single gene disorders in a
subsequent child.
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