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The challenge of thrombophilia in maternal-fetal medicine

Article Abstract:

All pregnant women with a personal or family history of venous thromboembolism should be tested for gene mutations that can cause this condition. Venous thromboembolism occurs when blood clots form in large veins and then travel to other parts of the body. This is dangerous because the clot can block the flow of blood. Pregnant women have a greater risk of venous thromboembolism than non-pregnant women. Pregnant women who test positive for some gene mutations that can cause this condition can be treated with low-molecular-weight heparin.

Author: Greer, Ian A.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2000
Care and treatment, Editorial, Pregnant women

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Increased frequency of genetic thrombophilia in women with complications of pregnancy

Article Abstract:

A blood clotting disorder may increase the risk of obstetrical complications in some pregnant women. These complications include preeclampsia, stillbirth, fetal growth retardation and placental abnormalities. Researchers analyzed blood samples for evidence of gene mutations in 110 women who had an obstetrical complication and 110 who had a normal pregnancy. Half of the women with obstetrical complications had a gene mutation that caused blood clotting abnormalities, compared to 17% of the women with a normal pregnancy.

Author: Kupferminc, Michael J., Lessing, Joseph B., Eldor, Amiram, Steinman, Nitzan, Many, Ariel, Bar-Am, Amiran, Jaffa, Ariel, Fait, Gideon
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1999
Health aspects, Gene mutations, Gene mutation, Blood clotting disorders, Blood coagulation disorders, Genetic aspects, Pregnancy, Complications of, Pregnancy complications

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A comparison of low-dose heparin with low-molecular-weight heparin as prophylaxis against venous thromboembolism after major trauma

Article Abstract:

Low-molecular-weight heparin seems to be more effective in preventing thromboembolism in patients with major injuries than low-dose heparin. Thromboembolism occurs when a blood clot forms, travels through the bloodstream and cuts off the blood supply to an organ. Of 344 people admitted to a trauma center with severe injuries, 173 received low-dose heparin for up to 14 days and 171 received a form of low-molecular-weight heparin called enoxaparin. Enoxaparin reduced the incidence of thromboembolism by 30%.

Author: Jay, Richard M., Chen, Erluo, Geerts, William H., Code, Karen I., Szalai, John Paul, Saibil, Eric A., Hamilton, Paul A.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1996
Wounds and injuries, Injuries, Dosage and administration, Heparin

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Subjects list: Prevention, Thromboembolism, Complications and side effects
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