Incidence and spectrum of thrombophilia in women with recurrent pregnancy loss: a retrospective study

A Kocaağa, H Kılıç, S Güleç - Eskisehir Medical Journal, 2023 - dergipark.org.tr
A Kocaağa, H Kılıç, S Güleç
Eskisehir Medical Journal, 2023dergipark.org.tr
Objective: Recurrent pregnancy loss (RPL), which is generally known as> 2 consecutive
pregnancy losses before 20 weeks' gestation, is seen in between 3-5% of women. The aim
is to evaluate the frequency of common variants with hereditary thrombophilia;(
Methylenetetrahydrofolate Reductase; MTHFR C677T and MTHFR A1298C polymorphisms;
FV Leiden G1691A and Prothrombin G20210A mutation) in female patients with RPL.
Materials and Methods: This retrospective cohort study is between the years 2020 and 2022 …
Objective
Recurrent pregnancy loss (RPL), which is generally known as >2 consecutive pregnancy losses before 20 weeks' gestation, is seen in between 3-5% of women. The aim is to evaluate the frequency of common variants with hereditary thrombophilia; (Methylenetetrahydrofolate Reductase; MTHFR C677T and MTHFR A1298C polymorphisms; FV Leiden G1691A and Prothrombin G20210A mutation) in female patients with RPL.
Materials and Methods
This retrospective cohort study is between the years 2020 and 2022. We investigated the frequency of the MTHFR C677T and MTHFR A1298C polymorphisms, FV Leiden G1691A and Prothrombin G20210A mutations in 380 females suffering from two or more pregnancy losses.
Results
The mean age of the patients was 32.6 years (range: 18-46). The most frequently observed variant in this group was a heterozygote mutation for the MTHFR677 polymorphism (n=163, 42.8%). The second most common variant was MTHFR A1298C heterozygosity with a frequency of 41.1% (n=156). The least common variant is FII homozygosity (0.3%). Heterozygous of FII and FV Leiden (G1691A) mutations were found in 1.8% (1/380) and 8.4% (7/380) of the patients, respectively.
Conclusion
The thrombophilic variants (FV Leiden G1691A and Prothrombin G20210A) seem to have an important role in RPL. Detection of an underlying thrombophilia may be important to begin early and appropriate treatment for couples suffering from RPL.
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