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[Genetic mutations, acquired coagulation system disorders and obstetric pathology. Personal experience]
P Arcadia1, A G Cosco, A M Ierullo
1Istituto di Scienze Ginecologiche, Università degli Studi Magna Graecia, Catanzaro, Italy.
Background:
To evaluate the incidence of thrombophilic disorders such as Factor II mutation, Leiden factor V and MTHFR genotype, and anti-phospholipid anti-bodies syndrome in women with or without pregnancy related problems.
Methods:
Sixty-three patients (group A) with pregnancy complications were included in the study and tested for Factor V mutation, Factor II mutation, 5-10 MTHFR reductase mutation and anti-phospholipid antibodies syndrome. The incidence of disorders was compared with thirty-six pregnancies without complications (control study, group B).
Results:
Hemostasis thrombophilic like disorders, were significantly high (p=0.001 vs group B). Nobody in both groups was homozygous for Leiden mutation or prothrombin mutation (Factor II). The prevalence of Factor V mutation in heterozygosis was significantly (p=0.01) higher in group A in comparison with group B. The MTHFR mutation in homozygosis was found in 21.4% of group A while in the control group it was 11%. Factor II mutation in heterozygosis and anti-phospholipid antibodies were found only in group A.
Conclusions:
It is important to evaluate the hemocoagulation patterns in women with a history of complicated pregnancies.