Second-trimester pregnancy loss is associated with activated protein C resistance

被引:132
作者
Rai, R
Regan, L
Hadley, E
Dave, M
Cohen, H
机构
[1] ST MARYS HOSP,DEPT HAEMATOL,LONDON W2 1NY,ENGLAND
[2] ST MARYS HOSP,DEPT OBSTET & GYNAECOL,LONDON W2 1NY,ENGLAND
[3] UNIV LONDON SCH MED,LONDON,ENGLAND
关键词
activated protein C resistance; pregnancy; miscarriage;
D O I
10.1046/j.1365-2141.0000.d01-1465.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We have investigated whether activated protein C resistance (APCR) is associated with second-trimester miscarriage. The prevalence of APCR was significantly higher amongst women with a history of second-trimester miscarriage (10/50; 20%) compared with either women with a history of first-trimester miscarriages only (4/70; 5.7%) or a control group of parous women with no previous history of pregnancy losses (3/70; 4.3%) (P < 0.02). These results suggest that APCR may be an important mechanism of second-trimester pregnancy loss, possibly related to the increase in intravascular coagulation that occurs during pregnancy.
引用
收藏
页码:489 / 490
页数:2
相关论文
共 11 条
  • [1] UNFAVORABLE PREGNANCY OUTCOME ASSOCIATED WITH CONGENITAL PROTEIN C DEFICIENCY - CASE-REPORTS
    BERTAULT, D
    MANDELBROT, L
    TCHOBROUTSKY, C
    SULTAN, Y
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1991, 98 (09): : 934 - 936
  • [2] MUTATION IN BLOOD-COAGULATION FACTOR-V ASSOCIATED WITH RESISTANCE TO ACTIVATED PROTEIN-C
    BERTINA, RM
    KOELEMAN, BPC
    KOSTER, T
    ROSENDAAL, FR
    DIRVEN, RJ
    DERONDE, H
    VANDERVELDEN, PA
    REITSMA, PH
    [J]. NATURE, 1994, 369 (6475) : 64 - 67
  • [3] HAEMOSTATIC MECHANISM IN UTERINE CIRCULATION DURING PLACENTAL SEPARATION
    BONNAR, J
    PRENTICE, CR
    MCNICOL, GP
    DOUGLAS, AS
    [J]. BRITISH MEDICAL JOURNAL, 1970, 2 (5709) : 564 - &
  • [4] HEREDITARY PROTEIN-C DEFICIENCY DURING PREGNANCY
    BRENNER, B
    SHAPIRA, A
    BAHARI, C
    HAIMOVICH, L
    SELIGSOHN, U
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1987, 157 (05) : 1160 - 1161
  • [5] COMP PC, 1986, BLOOD, V68, P881
  • [6] DEVELOPMENT OF RESISTANCE TO ACTIVATED PROTEIN-C DURING PREGNANCY
    CUMMING, AM
    TAIT, RC
    FILDES, S
    YOONG, A
    KEENEY, S
    HAY, CRM
    [J]. BRITISH JOURNAL OF HAEMATOLOGY, 1995, 90 (03) : 725 - 727
  • [7] FAMILIAL THROMBOPHILIA DUE TO A PREVIOUSLY UNRECOGNIZED MECHANISM CHARACTERIZED BY POOR ANTICOAGULANT RESPONSE TO ACTIVATED PROTEIN-C - PREDICTION OF A COFACTOR TO ACTIVATED PROTEIN-C
    DAHLBACK, B
    CARLSSON, M
    SVENSSON, PJ
    [J]. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (03) : 1004 - 1008
  • [8] DECIDUAL VASCULOPATHY AND EXTENSIVE PLACENTAL INFARCTION IN A PATIENT WITH REPEATED THROMBOEMBOLIC ACCIDENTS, RECURRENT FETAL LOSS, AND A LUPUS ANTICOAGULANT
    DEWOLF, F
    CARRERAS, LO
    MOERMAN, P
    VERMYLEN, J
    VANASSCHE, A
    RENAER, M
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 142 (07) : 829 - 834
  • [9] ANTIPHOSPHOLIPID ANTIBODIES AND BETA-2-GLYCOPROTEIN-I IN 500 WOMEN WITH RECURRENT MISCARRIAGE - RESULTS OF A COMPREHENSIVE SCREENING APPROACH
    RAI, RS
    REGAN, L
    CLIFFORD, K
    PICKERING, W
    DAVE, M
    MACKIE, I
    MCNALLY, T
    COHEN, H
    [J]. HUMAN REPRODUCTION, 1995, 10 (08) : 2001 - 2005
  • [10] STIRLING Y, 1984, THROMB HAEMOSTASIS, V52, P176