Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 4/2011

01-10-2011 | Materno-fetal Medicine

The association between inherited thrombophilias and pregnancy-related hypertension recurrence

Authors: Inanc Mendilcioglu, Turker Bilgen, Yunus Arikan, Ibrahim Keser, Mehmet Simsek, Aysen Timuragaoglu

Published in: Archives of Gynecology and Obstetrics | Issue 4/2011

Login to get access

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.
Literature
1.
go back to reference American College of Obstetricians, Gynecologists (1996) Hypertension in pregnancy ACOG technical bulletin no: 219. Int J Gynaecol Obstet 53:175–183CrossRef American College of Obstetricians, Gynecologists (1996) Hypertension in pregnancy ACOG technical bulletin no: 219. Int J Gynaecol Obstet 53:175–183CrossRef
2.
go back to reference National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy (2000) Report of the national high blood pressure education program working group on high blood pressure in pregnancy. Am J Obstet Gynecol 183:S1–S22CrossRef National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy (2000) Report of the national high blood pressure education program working group on high blood pressure in pregnancy. Am J Obstet Gynecol 183:S1–S22CrossRef
3.
go back to reference Hjartardottir S, Leifsson B, Geirsson R, Steinthorsdottir V (2006) Recurrence of hypertensive disorder in second pregnancy. Am J Obset Gynecol 194:916–920CrossRef Hjartardottir S, Leifsson B, Geirsson R, Steinthorsdottir V (2006) Recurrence of hypertensive disorder in second pregnancy. Am J Obset Gynecol 194:916–920CrossRef
4.
go back to reference Campell DM, MacGillivray I, Carr-Hill R (1985) Preeclampsia in second pregnancy. Br J Obstet Gynecol 92:131–140CrossRef Campell DM, MacGillivray I, Carr-Hill R (1985) Preeclampsia in second pregnancy. Br J Obstet Gynecol 92:131–140CrossRef
5.
go back to reference Trogstad L, Skrondal A, Stoltenberg C, Magnus P, Nesheim B-I, Eskild A (2004) Recurrence risk of preeclampsia in twin and singleton pregnancies. Am J Med Genet A 126:41–45CrossRef Trogstad L, Skrondal A, Stoltenberg C, Magnus P, Nesheim B-I, Eskild A (2004) Recurrence risk of preeclampsia in twin and singleton pregnancies. Am J Med Genet A 126:41–45CrossRef
6.
go back to reference Lie RT, Rasmussen S, Brunborg H, Gjessing HK, Lie-Nielsen E, Irgens LM (1998) Fetal and maternal contributions to risk of preeclampsia: population based study. BMJ 316:1343–1347PubMed Lie RT, Rasmussen S, Brunborg H, Gjessing HK, Lie-Nielsen E, Irgens LM (1998) Fetal and maternal contributions to risk of preeclampsia: population based study. BMJ 316:1343–1347PubMed
7.
go back to reference Mostello D, Kallogjeri D, Tungsiripat R, Leet T (2008) Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births. Am J Obstet Gynecol 199:55.e1–55.e7CrossRef Mostello D, Kallogjeri D, Tungsiripat R, Leet T (2008) Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births. Am J Obstet Gynecol 199:55.e1–55.e7CrossRef
8.
go back to reference Kupferminc MJ, Eldor A, Steinman N, Many A, Bar-Am A, Jaffa A, Fait G, Lessing JB (1999) Increased frequency of genetic thrombophilia in women with complications of pregnancy. N Engl J Med 340:9–13PubMedCrossRef Kupferminc MJ, Eldor A, Steinman N, Many A, Bar-Am A, Jaffa A, Fait G, Lessing JB (1999) Increased frequency of genetic thrombophilia in women with complications of pregnancy. N Engl J Med 340:9–13PubMedCrossRef
9.
go back to reference Dizon-Townson DS, Helson LN, Easton K, Ward K (1996) The factor V Leiden mutation may predispose women to severe preeclampsia. Am J Obstet Gynecol 175:902–905PubMedCrossRef Dizon-Townson DS, Helson LN, Easton K, Ward K (1996) The factor V Leiden mutation may predispose women to severe preeclampsia. Am J Obstet Gynecol 175:902–905PubMedCrossRef
10.
go back to reference Grandone E, Margaglione M, Colaizzo D, Cappucci G, Paladini D, Martinelli P, Montanaro S, Pavone G, Di Minno G (1997) Factor V Leiden, C > T MTHFR polymorphism and genetic susceptibility to preeclampsia. Thromb Haemost 77:1052–1054PubMed Grandone E, Margaglione M, Colaizzo D, Cappucci G, Paladini D, Martinelli P, Montanaro S, Pavone G, Di Minno G (1997) Factor V Leiden, C > T MTHFR polymorphism and genetic susceptibility to preeclampsia. Thromb Haemost 77:1052–1054PubMed
11.
go back to reference Robertson L, Wu O, Langhorne P, Twaddle S, Clark P, Lowe GD, Walker ID, Greaves M, Brenkel I, Regan L, Greer IA (2006) Thrombosis: risk and economic assessment of thrombophilia screening (treats) study. Thrombophilia in pregnancy: a systematic review. Br J Haematol 132(2):171–196PubMedCrossRef Robertson L, Wu O, Langhorne P, Twaddle S, Clark P, Lowe GD, Walker ID, Greaves M, Brenkel I, Regan L, Greer IA (2006) Thrombosis: risk and economic assessment of thrombophilia screening (treats) study. Thrombophilia in pregnancy: a systematic review. Br J Haematol 132(2):171–196PubMedCrossRef
12.
go back to reference Ray JG, Laskin CA (1999) Folic acid and homocyst(e)ine metabolic defects and the risk of placental abruption, pre-eclampsia and spontaneous pregnancy loss: a systematic review. Placenta 20(7):519–29 Ray JG, Laskin CA (1999) Folic acid and homocyst(e)ine metabolic defects and the risk of placental abruption, pre-eclampsia and spontaneous pregnancy loss: a systematic review. Placenta 20(7):519–29
13.
go back to reference Dizon-Townson D, Miller C, Sibai B, Spong CY, Thom E, Wendel G Jr, Wenstrom K, Samuels P, Cotroneo MA, Moawad A, Sorokin Y, Meis P, Miodovnik M, O’Sullivan MJ, Conway D, Wapner RJ, Gabbe SG, National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network (2005) The relationship of the factor V Leiden mutation and pregnancy outcomes for mother and fetus. Obstet Gynecol 106:517–524PubMedCrossRef Dizon-Townson D, Miller C, Sibai B, Spong CY, Thom E, Wendel G Jr, Wenstrom K, Samuels P, Cotroneo MA, Moawad A, Sorokin Y, Meis P, Miodovnik M, O’Sullivan MJ, Conway D, Wapner RJ, Gabbe SG, National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network (2005) The relationship of the factor V Leiden mutation and pregnancy outcomes for mother and fetus. Obstet Gynecol 106:517–524PubMedCrossRef
14.
go back to reference Kahn SR, Platt R, McNamara H, Rozen R, Chen MF, Genest J Jr, Goulet L, Lydon J, Seguin L, Dassa C, Masse A, Asselin G, Benjamin A, Miner L, Ghanem A, Kramer MS (2009) Inherited thrombophilia and preeclampsia within a multicenter cohort: the Montreal Preeclampsia Study. Am J Obstet Gynecol 200:151.e1–151.e9CrossRef Kahn SR, Platt R, McNamara H, Rozen R, Chen MF, Genest J Jr, Goulet L, Lydon J, Seguin L, Dassa C, Masse A, Asselin G, Benjamin A, Miner L, Ghanem A, Kramer MS (2009) Inherited thrombophilia and preeclampsia within a multicenter cohort: the Montreal Preeclampsia Study. Am J Obstet Gynecol 200:151.e1–151.e9CrossRef
15.
go back to reference Facchinetti F, Marozio L, Frusca T, Grandone E, Venturini P, Tiscia GL, Zatti S, Benedetto C (2009) Maternal thrombophilia and the risk of recurrence of preeclampsia. Am J Obstet Gynecol 200:46.e1–46.e5CrossRef Facchinetti F, Marozio L, Frusca T, Grandone E, Venturini P, Tiscia GL, Zatti S, Benedetto C (2009) Maternal thrombophilia and the risk of recurrence of preeclampsia. Am J Obstet Gynecol 200:46.e1–46.e5CrossRef
16.
go back to reference van Rijn BB, Hoeks LB, Bots ML, Franx A, Bruinse HW (2006) Outcomes of subsequent pregnancy after first pregnancy with early-onset preeclampsia. Am J Obstet Gynecol 195:723–728PubMedCrossRef van Rijn BB, Hoeks LB, Bots ML, Franx A, Bruinse HW (2006) Outcomes of subsequent pregnancy after first pregnancy with early-onset preeclampsia. Am J Obstet Gynecol 195:723–728PubMedCrossRef
17.
go back to reference Askie LM, Duley L, Henderson-Smart DJ, Stewart LA, PARIS Collaborative Group (2007) Antiplatelet agents for prevention of pre-eclampsia: a meta-analysis of individual patient data. Lancet 369:1791–1798PubMedCrossRef Askie LM, Duley L, Henderson-Smart DJ, Stewart LA, PARIS Collaborative Group (2007) Antiplatelet agents for prevention of pre-eclampsia: a meta-analysis of individual patient data. Lancet 369:1791–1798PubMedCrossRef
18.
go back to reference Barton JR, Sibai BM (2008) Prediction and prevention of recurrent preeclampsia. Obstet Gynecol 112:359–372PubMedCrossRef Barton JR, Sibai BM (2008) Prediction and prevention of recurrent preeclampsia. Obstet Gynecol 112:359–372PubMedCrossRef
19.
go back to reference Rodger MA, Paidas M, McLintock C, Middeldorp S, Kahn S, Martinelli I, Hague W, Rosene Montella K, Greer I (2008) Inherited thrombophilia and pregnancy complications revisited. Obstet Gynecol 112:320–324PubMedCrossRef Rodger MA, Paidas M, McLintock C, Middeldorp S, Kahn S, Martinelli I, Hague W, Rosene Montella K, Greer I (2008) Inherited thrombophilia and pregnancy complications revisited. Obstet Gynecol 112:320–324PubMedCrossRef
20.
go back to reference Lin J, August P (2005) Genetic thrombophilias and preeclampsia: a meta-analysis. Obstet Gynecol 105:182–192PubMedCrossRef Lin J, August P (2005) Genetic thrombophilias and preeclampsia: a meta-analysis. Obstet Gynecol 105:182–192PubMedCrossRef
21.
go back to reference Alfirevic Z (2002) How strong is the association between maternal thrombophilia and adverse pregnancy outcome? A systematic review. Eur J Obstet Gynecol Reprod Biol 101:6–14PubMedCrossRef Alfirevic Z (2002) How strong is the association between maternal thrombophilia and adverse pregnancy outcome? A systematic review. Eur J Obstet Gynecol Reprod Biol 101:6–14PubMedCrossRef
22.
go back to reference Barton JR, O’Brien JM, Bergauer NK, Jacques DL, Sibai BM (2001) Mild gestational hypertension remote from term: progression and outcome. Am J Obstet Gynecol 184:979–983PubMedCrossRef Barton JR, O’Brien JM, Bergauer NK, Jacques DL, Sibai BM (2001) Mild gestational hypertension remote from term: progression and outcome. Am J Obstet Gynecol 184:979–983PubMedCrossRef
Metadata
Title
The association between inherited thrombophilias and pregnancy-related hypertension recurrence
Authors
Inanc Mendilcioglu
Turker Bilgen
Yunus Arikan
Ibrahim Keser
Mehmet Simsek
Aysen Timuragaoglu
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 4/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1756-y

Other articles of this Issue 4/2011

Archives of Gynecology and Obstetrics 4/2011 Go to the issue