Thrombophilia: Difference between revisions
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imported>Robert Badgett (→Habitual abortion: Made table) |
imported>Robert Badgett |
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===Habitual abortion=== | ===Habitual abortion=== | ||
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|+ Thrombophila and [[habitual abortion]].<ref name="pmid12648968">{{cite journal| author=Rey E, Kahn SR, David M, Shrier I| title=Thrombophilic disorders and fetal loss: a meta-analysis. | journal=Lancet | year= 2003 | volume= 361 | issue= 9361 | pages= 901-8 | pmid=12648968 | |+ Thrombophila and [[habitual abortion]].<ref name="pmid12648968">{{cite journal| author=Rey E, Kahn SR, David M, Shrier I| title=Thrombophilic disorders and fetal loss: a meta-analysis. | journal=Lancet | year= 2003 | volume= 361 | issue= 9361 | pages= 901-8 | pmid=12648968 | ||
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! rowspan="2"| !! colspan="2"| [[Odds ratio]] | ! rowspan="2"| !! colspan="2"| [[Odds ratio]] | ||
|- | |- | ||
! Early pregnancy loss!! Late pregnancy loss | ! Early pregnancy loss<br/>(before 13 weeks)!!valign="top"|Late pregnancy loss | ||
|- | |- | ||
| [[Factor V Leiden]]|| 2.01 ([[Confidence interval|95% CI]] 1.13-3.58)||7.83 ([[Confidence interval|95% CI]] 2.83-21.67) | | [[Factor V Leiden]]|| 2.01 ([[Confidence interval|95% CI]] 1.13-3.58)||7.83 ([[Confidence interval|95% CI]] 2.83-21.67) | ||
|- | |- | ||
| Prothrombin G20210A|| 2.56 ([[Confidence interval|95% CI]] 1.04-.29)|| 2.30 ([[Confidence interval|95% CI]] 1.09-4.87)<br/> (non-recurrent) | | Prothrombin G20210A||valign="top"|2.56 ([[Confidence interval|95% CI]] 1.04-.29)|| 2.30 ([[Confidence interval|95% CI]] 1.09-4.87)<br/> (non-recurrent) | ||
|- | |- | ||
| [[Protein C]] deficiency||colspan="2" align="center"|No association | | [[Protein C]] deficiency||colspan="2" align="center"|No association | ||
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| [[Antithrombin]] deficiencies ||colspan="2" align="center"|No association | | [[Antithrombin]] deficiencies ||colspan="2" align="center"|No association | ||
|} | |} | ||
Thrombophilia have an increased risk of fetal loss, especially stillbirth after 28 weeks of gestation as opposed to miscarriage ([[spontaneous abortion]]) before 28 weeks of gestation<ref name="pmid8843809">{{cite journal| author=Preston FE, Rosendaal FR, Walker ID, Briët E, Berntorp E, Conard J et al.| title=Increased fetal loss in women with heritable thrombophilia. | journal=Lancet | year= 1996 | volume= 348 | issue= 9032 | pages= 913-6 | pmid=8843809 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=8843809 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
[[Habitual abortion]], the occurrence of three or more [[spontaneous abortion]]s may be due to thrombophilia.<ref name="pmid12648968">{{cite journal| author=Rey E, Kahn SR, David M, Shrier I| title=Thrombophilic disorders and fetal loss: a meta-analysis. | journal=Lancet | year= 2003 | volume= 361 | issue= 9361 | pages= 901-8 | pmid=12648968 | [[Habitual abortion]], the occurrence of three or more [[spontaneous abortion]]s may be due to thrombophilia.<ref name="pmid12648968">{{cite journal| author=Rey E, Kahn SR, David M, Shrier I| title=Thrombophilic disorders and fetal loss: a meta-analysis. | journal=Lancet | year= 2003 | volume= 361 | issue= 9361 | pages= 901-8 | pmid=12648968 | ||
Revision as of 11:24, 1 November 2009
In hematology, thrombophilia, also called hypercoagulability, is "a disorder of hemostasis in which there is a tendency for the occurrence of thrombosis."[1]
Clinical
Recurrent embolism and thrombosis
Habitual abortion
| Odds ratio | ||
|---|---|---|
| Early pregnancy loss (before 13 weeks) |
Late pregnancy loss | |
| Factor V Leiden | 2.01 (95% CI 1.13-3.58) | 7.83 (95% CI 2.83-21.67) |
| Prothrombin G20210A | 2.56 (95% CI 1.04-.29) | 2.30 (95% CI 1.09-4.87) (non-recurrent) |
| Protein C deficiency | No association | |
| Activated protein C resistance | 3.48 (95% CI 1.58-7.69) | |
| Protein S deficiency | 7.39 (95% CI 1.28-42.63) (nonrecurrent) | |
| Methylenetetrahydrofolate mutation | No association | |
| Antithrombin deficiencies | No association | |
Thrombophilia have an increased risk of fetal loss, especially stillbirth after 28 weeks of gestation as opposed to miscarriage (spontaneous abortion) before 28 weeks of gestation[3]
Habitual abortion, the occurrence of three or more spontaneous abortions may be due to thrombophilia.[2]
References
- ↑ Anonymous (2024), Thrombophilia (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ 2.0 2.1 Rey E, Kahn SR, David M, Shrier I (2003). "Thrombophilic disorders and fetal loss: a meta-analysis.". Lancet 361 (9361): 901-8. DOI:10.1016/S0140-6736(03)12771-7. PMID 12648968. Research Blogging.
- ↑ Preston FE, Rosendaal FR, Walker ID, Briët E, Berntorp E, Conard J et al. (1996). "Increased fetal loss in women with heritable thrombophilia.". Lancet 348 (9032): 913-6. PMID 8843809.