A sample of 52 spontaneous blighted ovum abortions (BO) was examined c
ytogenetically and compared with a sample of abortions with echographi
c evidence of the embryo (AE). Abnormal karyotypes were 67% in the BO
sample and 53% in the AE sample, a non significant difference. In the
BO abortions trisomies were 74% of the abnormal karyotypes but 35% in
the AE abortion, and the 45,X karyotype was absent among the BO but wa
s found in 10 cases of AE. The prevalence of trisomies 16 and 22 in th
e BO abortions indicates that genes on these chromosome may be respons
ible for the early arrest of embryonic development.