Related Experiment Videos
Prothrombin gene G20210A mutation and obstetric complications
Robert M Silver1, Yuan Zhao, Catherine Y Spong
1From the Departments of Obstetrics and Gynecology at the University of Alabama at Birmingham, Birmingham, Alabama; the University of Chicago, Chicago, Illinois; the University of Cincinnati, Cincinnati, Ohio; the University of Pittsburgh, Pittsburgh, Pennsylvania; the University of Miami, Miami, Florida; The Ohio State University, Columbus, Ohio; the University of Tennessee, Memphis, Tennessee; the University of Texas at San Antonio, San Antonio, Texas; the University of Texas Southwestern Medical Center, Dallas, Texas; Thomas Jefferson University, Philadelphia, Pennsylvania; the University of Utah, Salt Lake City, Utah; Wake Forest University Health Sciences, Winston-Salem, North Carolina; and Wayne State University, Detroit, Michigan; the George Washington University Biostatistics Center, Washington, DC, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD.
Maternal carriage of the prothrombin gene G20210A mutation is not associated with adverse pregnancy outcomes like pregnancy loss or preeclampsia in low-risk women. These findings question routine screening for this mutation in asymptomatic individuals.
Area of Science:
- Reproductive Medicine
- Genetics
- Thrombophilia
Background:
- The prothrombin gene G20210A mutation is a known risk factor for venous thromboembolism.
- Its association with adverse pregnancy outcomes in low-risk populations requires further investigation.
Purpose of the Study:
- To determine if maternal carriage of the prothrombin gene G20210A mutation is linked to pregnancy loss, preeclampsia, placental abruption, or small for gestational age (SGA) neonates.
- To evaluate the clinical utility of screening for this mutation in unselected, low-risk pregnancies.
Main Methods:
- Secondary analysis of a multicenter, prospective, observational cohort study (n=5,188).
- Analysis of 4,167 first-trimester samples for the prothrombin G20210A mutation.
- Comparison of obstetric complication rates between mutation carriers and non-carriers using univariable and multivariable analyses.
Main Results:
- The prothrombin G20210A mutation was found in 3.8% of women (n=157).
- No significant differences in rates of pregnancy loss, preeclampsia, SGA neonates, or abruption were observed between carriers and non-carriers.
- Multivariable analysis, controlling for relevant factors, confirmed these findings. Three thromboembolic events occurred in non-carriers.
Conclusions:
- Maternal carriage of the prothrombin G20210A mutation is not associated with adverse pregnancy outcomes in a low-risk cohort.
- Routine screening for this mutation in women without a history of thrombosis or adverse pregnancy outcomes may not be warranted.
Related Concept Videos
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Disorders of Hemostasis
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Venous Thrombosis I: Introduction
Principles of Pharmacogenetics: Types of Genetic Variants
Teratogenicity