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Association of Inherited Thrombophilia with Recurrent Pregnancy Loss in Palestinian Women

机译:遗传性血友病与巴勒斯坦妇女复发性妊娠损失的关系

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摘要

Objective. This study aimed at analyzing the association between recurrent pregnancy loss (RPL) and factor V G1691A (FVL), prothrombin (FII); and MTHFR C677T (MTHFR) in Palestinian women. Method. We studied 329 Palestinian women with RPL and/or stillbirth (SB); and compared them to 402 healthy reproductive Palestinian women. Cases and controls were tested for the above mutations. Odds ratio (OR) at confidence interval (CI) of 95% was used as a measure of association between the mutations and RPL. Results. Our statistical analysis showed a slightly increased association, which was not significant between FVL and RPL (OR 1.32, 95% CI 0.90–1.94), and no association between FII (OR 0.84, 95% CI 0.38–1.92), MTHFR (OR 0.58, 95% CI 0.32–1.03), and RPL. Further analysis of RPL subgroups revealed an association between FVL and first-trimester loss (OR 1.33, 95% CI 0.892–1.989), and second-trimester loss (OR 1.13, 95% CI 0.480–2.426), both were not statistically significant. Furthermore, the only statistically significant association was between FVL and SB (OR 2.0, 95% CI 1.05–3.70). Conclusion. Our analysis had failed to find a significant association between FVL, FII, MTHFR; and RPL in either the first or second trimester. FVL was significantly associated with fetal loss if the loss was a stillbirth.
机译:目的。本研究旨在分析复发性流产(RPL)与凝血因子V G1691A(FVL),凝血酶原(FII)之间的关联;和巴勒斯坦妇女中的MTHFR C677T(MTHFR)。方法。我们研究了329名患有RPL和/或死胎的巴勒斯坦妇女;并将其与402名健康的生殖巴勒斯坦妇女进行比较。测试病例和对照的上述突变。置信区间(CI)为95%的几率(OR)用作突变与RPL之间关联的度量。结果。我们的统计分析表明,FVL和RPL之间的关联略有增加(OR 1.32,95%CI 0.90-1.94),而FII(OR 0.84,95%CI 0.38-1.92)与MTHFR之间没有关联(OR 0.58 ,95%CI 0.32-1.03)和RPL。对RPL亚组的进一步分析显示,FVL与孕早期流失(OR 1.33,95%CI 0.892-1.989)和孕中期流产(OR 1.13,95%CI 0.480-2.426)之间没有关联,两者均无统计学意义。此外,FVL和SB之间只有统计学上的显着关联(OR 2.0,95%CI 1.05-3.70)。结论。我们的分析未能找到FVL,FII,MTHFR之间的显着关联。以及在孕早期或孕中期使用RPL。如果FVL是死产,则FVL与胎儿流失显着相关。

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