Abstract
Objectives
Recently, it has been found that women who have thrombophilia have increased risk of fetal loss. This study was designed to corroborate the association of elevated factor VIII level, protein C and protein S deficiencies, and the presence of LAC in women with recurrent pregnancy loss.
Materials and Methods
53 patients with history of two or more pregnancy losses and 47 healthy age-matched subjects with no history of pregnancy loss and who have delivered at least one term infant without any complication were enrolled into the study.
Results
Thrombophilic defect was present in 64.15 % of patients of study group. Protein S deficiency (50.94 %) was the most common thrombophilic defect observed. Spontaneous abortion (SA), preterm birth (PTB), and intrauterine growth retardation (IUGR) were the most important pregnancy complications observed. The strongest associations of pregnancy complications were observed with protein S deficiency (87.5 %) and with elevated factor VIII (66.66 %) level.
Conclusion
This study observed strong association of thrombophilia with unexplained recurrent pregnancy loss.
Similar content being viewed by others
References
Regan L, Rai R. Epidemiology and the medical causes of miscarriage. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14:839–54.
Clifford K, Rai R, Watson H, et al. An informative protocol for the investigation of recurrent miscarriage: preliminary experience of 500 consecutive cases. Hum Reprod. 1994;9:1328–32.
Alberman E. The epidemiology of repeated abortion. In: Beard RW, Sharp F, editors. Early pregnancy loss: mechanisms and treatment. New York: Springer; 1988. p. 9–17.
Stephenson MD. Frequency of factors associated with habitual abortion in 197 couples. Fertil Steril. 1996;66:24–9.
Sanson BJ, Friederich PW, Simioni P, et al. The risk of abortions and stillbirth in antithrombin, protein C, and protein S deficient women. Thromb Haemost. 1996;75:387–8.
Brenner B, Sarig G, Weiner Z, et al. Thrombophilic polymorphisms are common in women with fetal loss without apparent cause. Thromb Haemost. 1999;82:6–9.
Dossenbach-Glaninger A, Van Trotsenburg M, Dossenbach MR, et al. Elevated coagulation factor VIII and the risk for recurrent early pregnancy loss. Thromb Haemost. 2004;91(4):694–9.
Preston FE, Rosendaal FR, Walker ID, et al. Increased fetal loss in women with heritable thrombophilia. Lancet. 1996;348:913–6.
Walker ID, Greaves M, Preston FE. Investigation and management of heritable thrombophilia. Br J Haematol. 2001;114:512–28.
Hague WM. Homocystein and pregnancy. Best Pract Res Clin Obstet Gynaecol. 2003;17:459–69.
De Sancho MT, Richardson L, Rand JH. Prevalence of thrombophilia in women with spontaneous pregnancy loss. Blood 2004; 104.
Robertson L, Wu O, Langhorne P, et al. The Thrombosis: risk and assessment of thrombophilia screening (TREATS) study. Thrombophilia in pregnancy: a systematic review. Br J Haematol. 2006;132:171–96.
Sarig G, Younis JS, Hoffman R, et al. Thrombophilia is common in women with idiopathic pregnancy loss and is associated with late pregnancy wastage. Fertil Steril. 2002;77:342–7.
D’Uva M, Di Micco P, Strina I, et al. Etiology of hypercoagulable state in women with recurrent fetal loss without other causes of miscarriage from Southern Italy: new clinical target for antithrombotic therapy. Biol Targets Therapy. 2008;2(4):897–902.
Ulander V-M, Palosuo T, Kaaja R. Acquired and hereditary thrombophilia and recurrent miscarriage. J Thromb Haemost 2005; 3, Suppl 1.
Many A, Elad R, Yaron Y, et al. Third trimester unexplained intrauterine fetal death is associated with inherited thrombophilia. Obstet Gynecol. 2002;99(5 pt 1):684–7.
Karimi M, Afrasiabi R, Zolghadri Z, et al. Influence of inherited thrombophilia with recurrent pregnancy loss. J Thromb Haemost 2007; 5 Suppl 2: P-M-614.
Marietta M, Facchinetti F, Sgarbi L, et al.. Elevated plasma levels of factor VIII in women with recurrent miscarriage. J Thromb Haemost. 2003;1(12):2536–9.
Hossain N, Shamsi T, Soomro N. Frequency of thrombophilia in patients with adverse pregnancy outcome. JPMA. 2005;55(245):2005.
Tulppala M, Palosuo T, Ramsay T, et al. A prospective study of 63 couples with history of recurrent spontaneous abortion: contributing factors and outcome of subsequent pregnancies. Hum Reprod. 1993;8:764–70.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hansda, J., Roychowdhury, J. Study of Thrombophilia in Recurrent Pregnancy Loss. J Obstet Gynecol India 62, 536–540 (2012). https://doi.org/10.1007/s13224-012-0197-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13224-012-0197-x