Adverse pregnancy outcomes are associated with multiple maternal thrombophilic factors

Andrea L. Tranquilli, Stefano R. Giannubilo, Bernardo Dell'Uomo, Elvira Grandone

Research output: Contribution to journalArticle

Abstract

Objective: To determine to what extent adverse pregnancy outcomes are associated with thrombophilia. Study design: We studied 31 women who had HELLP syndrome, placental abruption, fetal growth restriction or unexplained stillbirth (study group), matched with 12 controls. All women were tested for: Factor V, Prothrombin, methylenetetrahydrofolate reductase gene (MTHFR) mutations; for Protein C, S and Antithrombin III deficiencie; for lupus anticoagulant. Correlation with 24 h BP monitoring and uterine Doppler velocimetry indexes at 22-24 weeks' gestation was performed. Results: Women with multiple thrombophilic factors had a significant lower birth weight (1568.33±146.8 g versus 2546.45±438 g), higher 24 h mean diastolic blood pressure at second trimester (76.3±12.5 mmHg versus 65.2±7.8 mmHg) and higher RI of uterine arteries (0.69±0.05 versus 0.50±0.15) than women with single thrombophilic factor. Conclusion: Multiple thrombophilic factors carry a major additional risk for adverse maternal and fetal outcomes and correlate well with placental maladaptation as indicated by uterine Doppler velocimetry and 24 h BP monitoring.

Original languageEnglish
Pages (from-to)144-147
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume117
Issue number2
DOIs
Publication statusPublished - Dec 1 2004

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Keywords

  • Blood pressure
  • Doppler
  • Pregnancy
  • Thrombophilia

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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