Chromosome anomalies are the commonest known cause of congenital defect in man. The problem that would otherwise be created by the high frequency of heteroploidy is alleviated by the loss of over 90% of the ab normal conceptuses through spontaneous abortion.All investigators agree that chromosome anomalies are common among abortuses. It is the actual frequency that is a matter for debate. This problem has been compounded by listing all studies together and taking a mean in cidence for heteroploidy (1). The studies in question were not comparable, some being selected, others unselected, and to list them together as a ho mogeneous population was unjustified. However, even unselected studies show a wide range in the frequency of chromosome anomalies in spontaneous abortions (Table 1). The incidence of heteroploidy varies between 8 and 49.5%. As far as the investigators were concerned, the material was unselected. Why, then, are the results so divergent? It is clear that the populations differ in some way and there are three principal factors that could affect the data: variation in the frequency of undetected induced abortions, selection related to the age or type of abortus studied, and geographical or local factors.The presence of large numbers of undetected induced abortions among a series of conceptuses would reduce the frequency of chromosome anomalies. The correct assignment of an abortion as spontaneous or induced is not al ways easy. My own approach has been to study the case history and assess evidence of infection at the time of hospital admission. High fever and administration of antibiotics suggested infection and, by association, inter ference. However, using this approach, "clean" abortions from patients admitted to hospital mainly because of bleeding, would be classified as spon taneous. Stenchever (personal communication) believes that the low inci dence of chromosome anomalies in his series was partly due to an excess of undetected induced abortions. Boue (personal communication) also believes that this factor affected his results. Boue and his co-workers (7) found chro mosome anomalies in 30 % of their first 40 specimens. Among the last 46 specimens, almost half were heteroploid (4,8). BoUl� believes that this change is due, at least in part. to the elimination of induced abortions among their later material. It is certainly a dramatic change and � one that we did not experience in our studies.""It is well known that most embryos in spontaneous abortions have been 65 3021 Annu. Rev. Genet. 1971.5:65-80. Downloaded from www.annualreviews.org by University of Massachusetts -Amherst on 10/10/12. For personal use only. Quick links to online content Further ANNUAL REVIEWS 66 CARRTABLE 1. INCIDENCE OF HETEROPLOIDY IN SPONTANEOUS ABORTIONS Refer-Total Abnor-% % % % % ence mal Abnormal Trisomic 45, X Polyploid Other