Number and sequence of preceding miscarriages and maternal age for the prediction of Antiphospholipid Syndrome in women with recurrent miscarriage

The risk for antiphospholipid syndrome is the same after two, not necessarily consecutive, miscarriages, as for women with three or more miscarriages.

Like 0 Comment

Authors

Emmy van den Boogaard, M.D., Danny M. Cohn, M.D., Ph.D., Johanna C. Korevaar, Ph.D., Feroza Dawood, M.D., Ph.D., Rosa Vissenberg, M.D., Saskia Middeldorp, M.D., Ph.D., Mariette Goddijn, Ph.D., Roy G. Farquharson, M.D.

Volume 99, Issue 1, Pages 188-192, January 2013

Abstract

Objective:

To investigate the relationship between the number and sequence of preceding miscarriages and Antiphospholipid Syndrome (APS).

Design:

Retrospective cohort study.

Setting:

Recurrent miscarriage (RM) clinic.

Patients:

Women who attended the RM clinic from 1988 to 2006.

Intervention:

None.

Main Outcome Measure:

Number, type, and sequence of previous pregnancies were compared between women with APS and women with unexplained RM.

Results:

A total of 1,719 patients were included; 312 (18%) had APS, and 1,407 (82%) had unexplained RM. The mean maternal age (32.6 years) did not differ between women with and without APS. The median number of miscarriages was three in both groups. A total of 865 women (50%) had a history of at least one live birth, with no difference between the two groups. In both groups, 97% of the women had a history of consecutive miscarriages.

Conclusions:

The number of preceding miscarriage, type and sequence of previous pregnancies, and maternal age were not associated with APS in women with RM. There is no increased diagnostic yield for APS after three miscarriages rather than after two miscarriages and no increased diagnostic yield for APS after consecutive miscarriages rather than after nonconsecutive miscarriages. Therefore, APS testing should be considered for all women with two or more miscarriages.

Read the full text at: http://www.fertstert.org/article/S0015-0282(12)02180-2/fulltext


Go to the profile of Fertility and Sterility

Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

No comments yet.