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November 1, 1997BJOG An International Journal of Obstetrics & Gynaecology

Hyperhomocysteinaemia and protein S deficiency in complicated pregnancies

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Why the study?

Do women with complicated pregnancies have a high prevalence of metabolic and haemostatic abnormalities?

Population

62 women without hypertensive disorders either before or during pregnancy, consecutively admitted with…

Design

Cohort

Follow-up

>10 weeks after delivery for testing; 6 weeks for vitamin…

Authors

JVJohanna I.P. de VriesAmsterdam University Medical CentersGDG.A. DekkerLyell McEwin HospitalPHP. C. Huijgensb

Discussion

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Implication

Supports consideration of postpartum thrombophilia screening after complicated pregnancies; hypothesis-generating for prospective validation.

Structured PICO

Do women with complicated pregnancies have a high prevalence of metabolic and haemostatic abnormalities?

P
Population
62 women without hypertensive disorders either before or during pregnancy, consecutively admitted with placental abruption (n=31), intrauterine fetal death (n=18), or a small for gestational age infant (n=13).
I
Intervention
Screening for metabolic and haemostatic abnormalities; subset with hyperhomocysteinaemia received daily oral dose of 250 mg pyridoxine and 5 mg folic acid for 6 weeks.
O
Outcome
Presence of hyperhomocysteinaemia, various coagulation abnormalities, and anticardiolipins.surrogate

Women with complicated pregnancies have a high prevalence of metabolic and haemostatic abnormalities, suggesting a need for postpartum screening.

Cite This Study

Vries et al. (1997) studied this question.

synapsesocial.com/papers/6a8bcd350ca85c7e33df0d0chttps://doi.org/10.1111/j.1471-0528.1997.tb10970.x
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Also Consider

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