Authors:

Ille Wramsby ML. Sten-Linder M. Bremme K.

Institution

Dr. M.L. Wramsby, Department of Woman and Child Health, Karolinska Institute, Box 140, 171 76 Stockholm; Sweden.

Title:

Primary habitual abortions are associated with high Frequency of Factor V Leiden mutation (2000-3324).

Source:

Fertility and Sterility. Vol 74(5) (pp87-991), 2000.

Abstract:

Objectives:

To analyze the prevalence of the mutation G1691A in factor V gene (Leiden mutation), of mutation C677T in the methylenetetrahydrofolate reductase (MTHFR) gene, and of polymorphism in G20210A in the prothrombin gene in women with recurrent abortions; further, to identify a subgroup at higher risk of being carriers of these mutations.

Design:

Prospective case control evaluation.

Setting:

University clinic.

Patients:

Eighty-four women with 3 or more consecutive miscarriages were compared with 69 controls.

Interventions:


None.

Main Outcome Measure(s):

Polymerase chain reactions were performed to identify the mutations G1691A in factor V and C677T in MTHFR genes and the polymorphism G20210A in the prothrombin gene.

Results:

In women with primary habitual abortions, 27.8% carried the Leiden mutation. No difference was observed in the prevalence of mutation C677T in the MTHFR gene or in polymorphism G20210A in the prothrombin gene.

Conclusion(s):

The Leiden mutation may play a considerable role for women having primary recurrent abortions.


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