The association between inherited thrombophilias and pregnancy-related hypertension recurrence

Arch Gynecol Obstet. 2011 Oct;284(4):837-41. doi: 10.1007/s00404-010-1756-y. Epub 2010 Nov 12.

Abstract

Purpose: The aim of this study was to determine the association between inherited thrombophilias and pregnancy-related hypertension recurrence.

Methods: In this case-control study, blood samples were obtained from patients who had at least two pregnancies complicated with pregnancy-related hypertension (n = 41) and healthy, normotensive pregnancies delivered without any complication (n = 38). Following the DNA extraction, samples were tested for factor V Leiden, prothrombin G20210A and homozygous methylene tetrahydrofolate reductase (MTHFR) C677T mutations using reverse hybridization method.

Results: Common inherited thrombophilias were present in 26.8% of women with recurrent pregnancy-related hypertension group and 23.7% of control subjects (odds ratio 1.1; 95% confidence interval, 0.6-1.9). No significant difference was observed between two groups in terms of factor V Leiden, prothrombin G20210A and MTHFR C677T mutations.

Conclusion: Our data suggest that factor V Leiden, prothrombin G20210A and MTHFR C677T mutations are not associated with pregnancy-related hypertension recurrence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Factor V / genetics
  • Female
  • Humans
  • Hypertension, Pregnancy-Induced / blood
  • Hypertension, Pregnancy-Induced / genetics*
  • Israel
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics
  • Point Mutation
  • Pregnancy
  • Prothrombin / genetics
  • Thrombophilia / blood
  • Thrombophilia / complications
  • Thrombophilia / genetics*
  • White People / genetics

Substances

  • factor V Leiden
  • Factor V
  • Prothrombin
  • Methylenetetrahydrofolate Reductase (NADPH2)