Monitoring Lupus Anticoagulant-Positive Pregnancies With Umbilical Artery Flow Velocity Waveforms

The presence of the “lupus anticoagulant” in maternal blood is associated with thrombosis in the placental vessels and a high rate of fetal loss. We followed six pregnancies in four mothers positive for lupus anticoagulant autoantibody with Doppler umbilical flow studies. The women were not treated...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1988-08, Vol.72 (2), p.215-218
Hauptverfasser: TRUDINGER, BRIAN J, STEWART, GRAEME J, COOK, COLLEEN M, CONNELLY, ANITA, EXNER, TOM
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container_title Obstetrics and gynecology (New York. 1953)
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creator TRUDINGER, BRIAN J
STEWART, GRAEME J
COOK, COLLEEN M
CONNELLY, ANITA
EXNER, TOM
description The presence of the “lupus anticoagulant” in maternal blood is associated with thrombosis in the placental vessels and a high rate of fetal loss. We followed six pregnancies in four mothers positive for lupus anticoagulant autoantibody with Doppler umbilical flow studies. The women were not treated with any drugs, and clinical management was guided by close fetal surveillance including umbilical flow studies. Umbilical artery flow velocity waveforms detect vascular abnormalities in the fetal umbilical placental circulation and were used as an early indicator of developing disease. All pregnancies produced live-born infants. These cases indicate the potential value of such studies in the management of this group at high risk of fetal loss.
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We followed six pregnancies in four mothers positive for lupus anticoagulant autoantibody with Doppler umbilical flow studies. The women were not treated with any drugs, and clinical management was guided by close fetal surveillance including umbilical flow studies. Umbilical artery flow velocity waveforms detect vascular abnormalities in the fetal umbilical placental circulation and were used as an early indicator of developing disease. All pregnancies produced live-born infants. 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We followed six pregnancies in four mothers positive for lupus anticoagulant autoantibody with Doppler umbilical flow studies. The women were not treated with any drugs, and clinical management was guided by close fetal surveillance including umbilical flow studies. Umbilical artery flow velocity waveforms detect vascular abnormalities in the fetal umbilical placental circulation and were used as an early indicator of developing disease. All pregnancies produced live-born infants. These cases indicate the potential value of such studies in the management of this group at high risk of fetal loss.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>3134628</pmid><tpages>4</tpages></addata></record>
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source MEDLINE; Journals@Ovid Complete
subjects Autoantibodies - analysis
Biological and medical sciences
Blood Coagulation Disorders - blood
Blood Coagulation Disorders - immunology
Blood Coagulation Disorders - physiopathology
Blood Coagulation Factors - blood
Blood Coagulation Factors - immunology
Blood Flow Velocity
Diseases of mother, fetus and pregnancy
Female
Fetal Monitoring - methods
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Lupus Coagulation Inhibitor
Medical sciences
Phospholipids - blood
Pregnancy
Pregnancy Complications, Hematologic - blood
Pregnancy Complications, Hematologic - immunology
Pregnancy Complications, Hematologic - physiopathology
Pregnancy Outcome
Pregnancy Trimester, Second
Pregnancy. Fetus. Placenta
Prenatal Care
Ultrasonography
Umbilical Arteries
Vascular Resistance
title Monitoring Lupus Anticoagulant-Positive Pregnancies With Umbilical Artery Flow Velocity Waveforms
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