Prenatal screening for thrombophilia: the background and the approach.
Coagulation is a normal response to blood vessel injury and involves the interaction of endothelium, platelets and clotting factors. Coagulation is altered by pregnancy and may be further altered by thrombophilia, an acquired or inherited predisposition to develop thrombosis. An overview of coagulation is provided as background for understanding thrombophilia. Both acquired and genetic risk factors for thrombosis are discussed. Thrombosis may affect not only the maternal circulation, but the utero-placental-fetal circulation as well. The literature documenting the association between maternal thrombosis and thrombophilia is summarized, as is the recent data linking thrombophilia and poor pregnancy outcome. An approach to screening for thrombophilia is outlined and strategies for thromboprophylaxis are provided.
Duke Scholars
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Related Subject Headings
- Thrombosis
- Thrombophilia
- Prenatal Diagnosis
- Pregnancy Outcome
- Pregnancy Complications, Hematologic
- Pregnancy
- Obstetrics & Reproductive Medicine
- Mass Screening
- Humans
- Fibrinolysis
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Thrombosis
- Thrombophilia
- Prenatal Diagnosis
- Pregnancy Outcome
- Pregnancy Complications, Hematologic
- Pregnancy
- Obstetrics & Reproductive Medicine
- Mass Screening
- Humans
- Fibrinolysis