Table 2.

Association of thrombophilia with placental vascular complications




Miscarriages

IUFD

Severe IUGR

Severe preeclampsia

Placental abruption
Antithrombin deficiency   I+ (11,12)   I+ (11,12)   II+   II+   III+  
Protein C deficiency   I+ (11,12)   I+ (11,12)   ND   ND   III+  
Protein S deficiency   I (11-13)   I+ (11,12)   II+ (14)   II+ (14)   III+ (14)  
Dysfibrinogenemia   II+ (15)   II+ (15)   ND   ND   ND  
APC resistance   I+ (13,16)   I+ (13,16)   II+   II+   II+ (18)  
Factor V Leiden   I+ (13,19-23)   I+ (13,19-23)   II+ (24-26)   II+ (26-31)   II+ (18,26,32)  
MTHFR 677TT   I- (33)   I- (14)   II- (14,34,35)   II- (14,28-30,34,35)   II-  
Hyperhomocysteinemia   I+ (33,35)   I+ (14,35)   II+ (14,35)   II+   II+ (14,34,36)  
Factor II 20210G>A   I+ (17,23)   I+ (17,23)   II+ (24-26)   II+ (25,29-31)   II+ (26,32)  
Antiphospholipid antibodies   I+ (13,37)   I+ (13,37)   II+ (26)   II+ (26)   II+ (26)  
Combined defects
 
I+ (12,13,37)
 
I+ (12,13,26,37)
 
II+ (26)
 
II+ (26)
 
II+ (26)
 



Miscarriages

IUFD

Severe IUGR

Severe preeclampsia

Placental abruption
Antithrombin deficiency   I+ (11,12)   I+ (11,12)   II+   II+   III+  
Protein C deficiency   I+ (11,12)   I+ (11,12)   ND   ND   III+  
Protein S deficiency   I (11-13)   I+ (11,12)   II+ (14)   II+ (14)   III+ (14)  
Dysfibrinogenemia   II+ (15)   II+ (15)   ND   ND   ND  
APC resistance   I+ (13,16)   I+ (13,16)   II+   II+   II+ (18)  
Factor V Leiden   I+ (13,19-23)   I+ (13,19-23)   II+ (24-26)   II+ (26-31)   II+ (18,26,32)  
MTHFR 677TT   I- (33)   I- (14)   II- (14,34,35)   II- (14,28-30,34,35)   II-  
Hyperhomocysteinemia   I+ (33,35)   I+ (14,35)   II+ (14,35)   II+   II+ (14,34,36)  
Factor II 20210G>A   I+ (17,23)   I+ (17,23)   II+ (24-26)   II+ (25,29-31)   II+ (26,32)  
Antiphospholipid antibodies   I+ (13,37)   I+ (13,37)   II+ (26)   II+ (26)   II+ (26)  
Combined defects
 
I+ (12,13,37)
 
I+ (12,13,26,37)
 
II+ (26)
 
II+ (26)
 
II+ (26)
 

Reference numbers are listed in parentheses.

Level I (I) indicates the recommendation is based on 1 or more well-designed prospective studies or 2 or more well-designed retrospective studies; level II (II), the recommendation is based on retrospective studies that reach consensus; level III (III), the recommendation is based on isolated anecdotal studies and/or the consensus of expert practitioners; +, association present; -, association not present; and ND, no data.

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