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Published on: January 26, 2024
[Antiphospholipid syndrome and pregnancy].
Juan Fernando Romero Arauz1, Angel García Alonso López, Alma Lina Lara González
1Departamento de Medicina Perinatal, Hospital de Ginecología y Obstetricia Luis Castelazo Ayala, Instituto Mexicano del Seguro Social. jfromarauz@hotmail.com
Antiphospholipid syndrome in pregnancy requires early treatment and close monitoring. This approach achieved a 90% live birth rate, though prematurity and intrauterine growth restriction remain common concerns.
Area of Science:
- Obstetrics and Gynecology
- Immunology
- Maternal-Fetal Medicine
Context:
- Antiphospholipid syndrome (APS) is an autoimmune condition increasing risks during pregnancy.
- Previous pregnancies in APS patients are often complicated by thrombosis, recurrent pregnancy loss, and preeclampsia.
Purpose:
- To evaluate maternal and perinatal outcomes in pregnant patients with antiphospholipid syndrome.
- To assess the effectiveness of early treatment and close surveillance in managing APS pregnancies.
Summary:
- A retrospective analysis of 35 APS patients revealed that 94% had live newborns with early, combined treatment (heparin, low-dose aspirin, and sometimes prednisone).
- Common complications included prematurity (58%), preeclampsia (32%), and intrauterine growth restriction (20%).
- No maternal deaths occurred, but two neonatal deaths were linked to extreme prematurity and preeclampsia.
Impact:
- Early intervention and vigilant maternal-fetal monitoring significantly improve live birth rates in antiphospholipid syndrome pregnancies.
- Despite treatment advances, prematurity, preeclampsia, and intrauterine growth restriction remain significant challenges in APS management.
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