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This version was published on January 1, 2008
Clinical and Applied Thrombosis/Hemostasis, Vol. 14, No. 1, 112-115 (2008)
DOI: 10.1177/1076029607304096

Multifactorial Thrombophilia in a Pregnancy: A Case Report

Ilknur Inegol Gumus, MD

Department of Obstetrics and Gynecology Fatih University Faculty of Medicine, Ankara, Turkey, ilknurinegol{at}yahoo.com

Hilal Uslu, MD

Department of Obstetrics and Gynecology Fatih University Faculty of Medicine, Ankara, Turkey

Nuket Bavbek, MD

Department of Internal Medicine Fatih University Faculty of Medicine, Ankara, Turkey

Nilgun Turhan, MD

Department of Internal Medicine Fatih University Faculty of Medicine, Ankara, Turkey

Thrombophilias are inherited or acquired conditions that predispose individuals to thromboembolism. Thrombophilic disorders increase obstetric complications, such as early pregnancy loss, fetal growth retardation, placental abruption, and preeclampsia. Recurrent pregnancy loss affects 1% to 3% of women of reproductive age, and a large proportion of these losses remain unexplained. Thrombophilic defects were found in 49% to 65% of women with pregnancy complications compared with 18% to 22% of women with normal pregnancies, suggesting a 3- to 8-fold increase in risk. We report a case of a pregnant woman who had a history of recurrent pregnancy losses that was complicated with protein S deficiency, factor V Leiden mutation, methylene tetrahydrofolate reductase mutation, and antiphospholipid syndrome in her pregnancy.

Key Words: factor V Leiden mutation • methylene tetrahydrofolate reductase mutation • protein S deficiency • pregnancy


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