We investigated outcome in patients whose amniotic-fluid-cell samples
showed unexplained growth failure in culture, 32 of 7872 amniocentesis
samples were classified as unexplained growth failures. 10 women did
not have repeat cytogenetic testing, but among their pregnancies there
were 4 abnormal outcomes (1 fetal bladder-outlet obstruction, 2 still
births, and 1 acardiac twin). Of the 2 2 patients who had repeat karyo
typic analysis, 18 had normal fetal karyotypes, However, 4 fetuses wer
e aneuploid (2 trisomy 21, 1 trisomy 13, and 1 Pallister-Killian syndr
ome).