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http://hdl.handle.net/10362/22372
Título: | Primary antipholipid syndrome: pregnancy outcome in a portuguese population |
Autor: | Serrano, Fátima Nogueira, Isabel Borges, Augusta Branco, Jorge |
Palavras-chave: | Primary Antiphospholipid Syndrome Aspirin Low Molecular Weight Heparin Pregnancy Outcome |
Data: | Jul-2009 |
Resumo: | Introduction: Women with antiphospholipid syndrome (APS) may suffer from recurrent miscarriage, fetal death, fetal growth restriction (FGR), pre-eclampsia, placental abruption, premature delivery and thrombosis. Treatment with aspirin and low molecular weight heparin (LMWH) combined with close maternal-fetal surveillance can change these outcomes. Objective: To assess maternal and perinatal outcome in a cohort of Portuguese women with primary APS. Patients and Methods: A retrospective analysis of 51 women with primary APS followed in our institution (January 1994 to December 2007). Forty one (80.4%) had past pregnancy morbidity and 35.3% (n=18) suffered previous thrombotic events. In their past they had a total of 116 pregnancies of which only 13.79% resulted in live births. Forty four patients had positive anticardiolipin antibodies and 33 lupus anticoagulant. All women received treatment with low dose aspirin and LMWH. Results: There were a total of 67 gestations (66 single and one multiple). The live birth rate was 85.1% (57/67) with 10 pregnancy failures: seven in the first and second trimesters, one late fetal death and two medical terminations of pregnancy (one APS related). Mean (SD) birth weight was 2837 +/- 812 g and mean gestational age 37 +/- 3.3 weeks. There were nine cases of FGR and 13 hypertensive complications (4 HELLP syndromes). 54.4% of the patients delivered by caesarean section. Conclusions: In our cohort, early treatment with aspirin and LMWH combined with close maternal-fetal surveillance was associated with a very high chance of a live newborn. |
Peer review: | yes |
URI: | http://hdl.handle.net/10362/22372 |
ISSN: | 0303-464X |
Aparece nas colecções: | NMS - Artigos em revista nacional com arbitragem científica |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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ARP_2009_3_492_09_SAAF_ARP2009_55AO.pdf | 71,96 kB | Adobe PDF | Ver/Abrir |
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