Lupus anticoagulant and pregnancy.

Abstract:

:A subset of women with a high rate of fetal wastage is identifiable among those with serologic but not necessarily clinical evidence of connective tissue disease. The presence of lupus anticoagulant in the plasma of a pregnant woman serves as a marker for a high rate of fetal wastage and risk of thrombosis. Lupus anticoagulant is best identified by the activated partial thromboplastin time or kaolin clotting time and can be specifically confirmed by the platelet neutralization procedure. Review of the obstetric literature indicates a total of 49 women with 160 unsuccessful pregnancies and 13 live births. Prednisone in immunosuppressive doses (40 to 60 mg/day) combined with low-dose aspirin (75 mg/day) has been demonstrated to be effective in suppressing activity of lupus anticoagulant in pregnant women and successful pregnancies have been obtained with this treatment. Lupus anticoagulant should be excluded in women with suspected collagen disease, with repeated early abortions and all unexpected late fetal losses.

journal_name

Am J Obstet Gynecol

authors

Lubbe WF,Liggins GC

doi

10.1016/s0002-9378(85)80124-1

subject

Has Abstract

pub_date

1985-10-01 00:00:00

pages

322-7

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(85)80124-1

journal_volume

153

pub_type

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