Document Detail


Maternal and fetal thrombophilia in intrauterine growth restriction in the presence or absence of maternal hypertensive disease.
MedLine Citation:
PMID:  20601540     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intrauterine growth restriction (IUGR) depends on the placental capacity to transfer oxygen and nutrients from the maternal to the fetal circulation. Placental insufficiency may be caused by impairment of the maternal or fetal circulation by a thrombotic event, possibly associated with thrombophilic disorders. The goals of our study were to define the role of maternal/fetal gain-of-function factor V Leiden and prothrombin G20210A mutations in the development of IUGR and to evaluate whether maternal pregnancy-induced hypertensive diseases would modify any such association. This is a case-control study: controls were 259 normal pregnancies, cases were 77 IUGR, 28 with and 49 without preeclampsia (PE) or pregnancy-induced hypertension (PIH). An association was found between IUGR and fetal thrombophilia (OR 2.09 CI 95% 1-4.5). The association was stronger in IUGR without PE and PIH (OR 2.9 CI 95% 1.3-6.6). This suggests a role for the fetal genotype in the development of IUGR.
Authors:
Paola Pileri; Franca Franchi; Irene Cetin; Chiara Mandò; Patrizio Antonazzo; Buthaina Ibrahim; Federica Rossi; Eugenia Biguzzi
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-02
Journal Detail:
Title:  Reproductive sciences (Thousand Oaks, Calif.)     Volume:  17     ISSN:  1933-7205     ISO Abbreviation:  Reprod Sci     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-11     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291249     Medline TA:  Reprod Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  844-8     Citation Subset:  IM    
Affiliation:
Department of Clinical Sciences, Hospital Luigi Sacco, Department of Medicine and Medical Specialties, University of Milan, Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Case-Control Studies
Chi-Square Distribution
Factor V / genetics*
Female
Fetal Diseases / genetics*
Fetal Growth Retardation / etiology*,  genetics,  physiopathology
Genotype
Humans
Hypertension, Pregnancy-Induced / physiopathology*
Italy
Logistic Models
Mutation
Odds Ratio
Phenotype
Placental Circulation
Pre-Eclampsia / physiopathology
Pregnancy
Pregnancy Complications, Hematologic / genetics*
Prothrombin / genetics*
Risk Assessment
Risk Factors
Thrombophilia / genetics*
Chemical
Reg. No./Substance:
0/factor V Leiden; 9001-24-5/Factor V; 9001-26-7/Prothrombin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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