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Acquired and inherited thrombophilia disorders in pregnancy
Authors:Pierangeli Silvia S  Leader Benjamin  Barilaro Giuseppe  Willis Rohan  Branch D Ware
Institution:a Antiphospholipid Standardization Laboratory, Division of Rheumatology, Department of Internal Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0883, USA
b Clinical Research Division, Reprosource, Inc, 300 Trade Center, Suite 6540, Woburn, MA 01801, USA
c Department of Obstetrics and Gynecology, University of Utah Health Sciences Center and Intermountain Healthcare, 30 North 1900 East, Room 2B200 SOM, Salt Lake City, UT 84132, USA
Abstract:Thromboembolism is the leading cause of antepartum and postpartum maternal mortality. The presence of antiphospholipid antibodies is responsible for many pregnancy losses and other morbidities in pregnant women, and is the most prevalent and treatable cause of acquired thrombophilia in pregnancy. There is also evidence that women with thrombophilia are at increased risk not only of pregnancy-related venous thromboembolism but other vascular pregnancy complications. Many studies have examined the association between thrombophilia and pregnancy complications. This article reviews the most up-to-date knowledge of prevalence, pathogenesis, and diagnosis of acquired and inherited thrombophilias and their relationship and association with pregnancy complications.
Keywords:Thrombosis in pregnancy  Antiphospholipid syndrome  Antiphospholipid antibodies  Pregnancy loss
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