Prevalence of Inherited Thrombophilia in Women with Recurrent Pregnancy Loss During the First Trimester of Pregnancy

被引:3
作者
Yousif, Tagwa Yousif Elsayed [1 ,2 ]
机构
[1] Jazan Univ, Fac Appl Med Sci, Dept Med Lab Technol, Gizan 45142, Saudi Arabia
[2] Alneelian Univ, Coll Med Lab Sci, Dept Med Lab Sci, Khartoum, Sudan
关键词
activated protein C resistance; antithrombin III; protein C; protein S; repeated miscarriages; thrombophilia; MUTATION; HISTORY;
D O I
10.2147/JBM.S401469
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: This study aims to investigate the prevalence of inherited thrombophilia in women with recurrent pregnancy loss during the first trimester of pregnancy. The study was assessed the potential role of inherited thrombophilia in recurrent miscarriages and evaluate the consequences of this condition on the reproductive outcomes of affected women. Material and Methods: This study was an analytical descriptive carried out in Khartoum, Sudan. The research comprised 98 controls who had given birth twice or more without experiencing a miscarriage and 120 patients. Each patient had done more than two miscarriages especially when the pregnancy is at its beginning trimester. (APCR), and (PS) were investigated using the clotting approach. There was an assessment of biological activities of (ATIII), (PC), and (PS) for both groups using the chromogenic method. Results: The average age of the patients was 34, which was higher than the average age of the controls (33.5). The patient group had a much higher rate of multiple miscarriages among the women.: 35 (29.17%), 45 (37.50%), and 40 (33.33%). The incidence of PC deficiencies was determined to be 1.02% (1/98), whereas neither ATIII nor PS deficiencies were seen in the control group (0/98). APCR was more prevalent in the control group (4.10% or 4/98). Conclusion: Despite contradicting evidence to the contrary in the literature, our findings imply that most miscarriages occur when pregnancy is at the first trimester when a woman is pregnant and they are all caused by thrombophilia.
引用
收藏
页码:253 / 259
页数:7
相关论文
共 23 条
[1]   Immunologic causes and thrombophilia in recurrent pregnancy loss [J].
Alecsandru, Diana ;
Klimczak, Amber M. ;
Garcia Velasco, Juan A. ;
Pirtea, Paul ;
Franasiak, Jason M. .
FERTILITY AND STERILITY, 2021, 115 (03) :561-566
[2]   Guidelines for thrombophilia testing: A British Society for Haematology guideline [J].
Arachchillage, Deepa J. ;
Mackillop, Lucy ;
Chandratheva, Arvind ;
Motawani, Jayashree ;
MacCallum, Peter ;
Laffan, Mike .
BRITISH JOURNAL OF HAEMATOLOGY, 2022, 198 (03) :443-458
[3]   A prospective triat that demonstrates that dalteparin requirements increase in pregnancy to maintain therapeutic levets of anticoagulation [J].
Barbour, LA ;
Oja, JL ;
Schultz, LK .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (03) :1024-1029
[4]  
Bates Shannon M, 2007, Hematology Am Soc Hematol Educ Program, P143
[5]   Safety of withholding heparin in pregnant women with a history of venous thromboembolism. [J].
Brill-Edwards, P ;
Ginsberg, JS ;
Gent, M ;
Hirsh, J ;
Burrows, R ;
Kearon, C ;
Geerts, W ;
Kovacs, M ;
Weitz, JI ;
Robinson, KS ;
Whittom, R ;
Couture, G .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (20) :1439-1444
[6]   The relationship of the factor v Leiden mutation and pregnancy outcomes for mother and fetus [J].
Dizon-Townson, D ;
Miller, C ;
Sibai, B ;
Spong, CY ;
Thom, E ;
Wendel, G ;
Wenstrom, K ;
Samuels, P ;
Cotroneo, MA ;
Moawad, A ;
Sorokin, Y ;
Meis, P ;
Miodovnik, M ;
O'Sullivan, M ;
Conway, D ;
Wapner, RJ ;
Gabbe, SG .
OBSTETRICS AND GYNECOLOGY, 2005, 106 (03) :517-524
[7]   Prothrombin and factor V mutations in women with a history of thrombosis during pregnancy and the puerperium. [J].
Gerhardt, A ;
Scharf, RE ;
Beckmann, MW ;
Struve, S ;
Bender, HG ;
Pillny, M ;
Sandmann, W ;
Zotz, RB .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (06) :374-380
[8]  
GriYn JH, 1993, BLOOD, V82, P1989, DOI [10.1182/blood.V82.7.1989.1989, DOI 10.1182/BLOOD.V82.7.1989.1989]
[9]   RECURRENT MISCARRIAGE - EPIDEMIOLOGIC FACTORS, DEFINITIONS, AND INCIDENCE [J].
HATASAKA, HH .
CLINICAL OBSTETRICS AND GYNECOLOGY, 1994, 37 (03) :625-634
[10]  
Kluijtmans LAJ, 1996, AM J HUM GENET, V58, P35