Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/709
Título: Primary Antiphospholipid Syndrome: Pregnancy Outcome in a Portuguese Population
Autor: Serrano, F
Nogueira, I
Borges, A
Branco, J
Palavras-chave: Síndrome Antifosfolipídico
Portugal
Gravidez
Complicações na Gravidez
Resultado da Gravidez
Estudos Retrospectivos
Data: 2009
Editora: Sociedade Portuguesa de Reumatologia
Citação: Acta Reumatol Port. 2009 Jul-Sep;34(3):492-7
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/10400.17/709
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