Recurrent pregnancy loss: can factor V Leiden mutations be a cause
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The role of Factor V Leiden (FVL) mutation in recurrent miscarriages has been disputed. It has been hypothesized thatFVL mutation in patients with recurrent miscarriages is treatable. In this study, we evaluated 78 pregnant womenfor FVL mutations, among whom 50 had a history of recurrent miscarriages. Only 1 (2%) of the woman was positivefor heterozygous FVL mutation. The incidence of FVL mutations in patients with recurrent pregnancy loss had anodds ratio of 1.72 (95% confidence interval, 0.0681–43.8257; P>0.05). However, the findings were not statisticallysignificant. Thus, we suggest that FVL mutation study may not be included in the battery of tests for recurrentmiscarriages in the Indian population.
Abstract
The role of Factor V Leiden (FVL) mutation in recurrent miscarriages has been disputed. It has been hypothesized thatFVL mutation in patients with recurrent miscarriages is treatable. In this study, we evaluated 78 pregnant womenfor FVL mutations, among whom 50 had a history of recurrent miscarriages. Only 1 (2%) of the woman was positivefor heterozygous FVL mutation. The incidence of FVL mutations in patients with recurrent pregnancy loss had anodds ratio of 1.72 (95% confidence interval, 0.0681–43.8257; P>0.05). However, the findings were not statisticallysignificant. Thus, we suggest that FVL mutation study may not be included in the battery of tests for recurrentmiscarriages in the Indian population.
참고문헌 (20)
- Practice Committee of the American Society for Reproductive Medicine, "Definitions of infertility and recurrent pregnancy loss", Fertil Steril, 89, pp.1603~ (2008)
- Hatasaka HH, "Recurrent miscarriage : epidemiologic factors, definitions, and incidence", Clin Obstet Gynecol, 37, pp.625~634 (1994)
- "Frequently asked questions 100, pregnancy: repeated miscarriages" (2017)[URL]
- Brenner B, "Haemostatic changes in pregnancy", Thromb Res, 114, pp.409~414 (2004)
- Mariar RA, "Henry’s clinical diagnosis and management by laboratory methods", pp.825~ (2011), Elsevier
- Kujovich JL, "Factor V Leiden thrombophilia", Genet Med, 13, pp.1~16 (2011)
- Mierla D, "Association of prothrombin(A20210G)and Factor V Leiden(A506G)with recurrent pregnancy loss", Maedica(Buchar), 7, pp.222~226 (2012)
- Cardona H, "Lack of association between recurrent pregnancy loss and inherited thrombophilia in a group of Colombian patients", Thrombosis, 2012, pp.367823~ (2012)
- Herrmann FH, "Hämophilie-Symposion Hamburg 1996", pp.347~351 (1998), Springer
- Gandrille S, "A rapid screening method for the factor V Arg506-->Gln mutation", Blood Coagul Fibrinolysis, 6, pp.245~248 (1995)
- Narender Kumar, "Inherited thrombophilia profile in patients with recurrent miscarriages: Experience from a tertiary care center in north India", Obstetrics & Gynecology Science, 58(6), pp.514~517 (2015), 대한산부인과학회[DOI]
- Mukhopadhyay R, "MTHFR C677T and Factor V Leiden in recurrent pregnancy loss : a study among an endogamous group in North India", Genet Test Mol Biomarkers, 13, pp.861~865 (2009)
- Jaslow CR, "Diagnostic factors identified in 1020 women with two versus three or more recurrent pregnancy losses", Fertil Steril, 93, pp.1234~1243 (2010)
- Parand A, "Inherited thrombophilia and recurrent pregnancy loss", Iran Red Crescent Med J, 15, pp.e13708~ (2013)
- Parveen F, "Should Factor V Leiden mutation and prothrombin gene polymorphism testing be done in women with recurrent miscarriage from North India", Arch Gynecol Obstet, 287, pp.375~381 (2013)
- Pasquier E, "Inherited thrombophilias and unexplained pregnancy loss : an incident case-control study", J Thromb Haemost, 7, pp.306~311 (2009)
- Altintas A, "Factor V Leiden and G20210A prothrombin mutations in patients with recurrent pregnancy loss : data from the southeast of Turkey", Ann Hematol, 86, pp.727~731 (2007)
- Dilley A, "Mutations in the Factor V, prothrombin and MTHFR genes are not risk factors for recurrent fetal loss", J Matern Fetal Neonatal Med, 11, pp.176~182 (2002)
- Pasińska M, "Molecular diagnostic tests for thrombophilia in patients referred to genetic counseling clinic because due to recurrent pregnancy failure. One center’s experience", Ginekol Pol, 83, pp.178~182 (2012)
- Vora S, "Thrombophilia and unexplained pregnancy loss in Indian patients", Natl Med J India, 21, pp.116~119 (2008)
