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Antiphospholipid antibody profile based obstetric outcomes of primary antiphospholipid syndrome: the PREGNANTS study
Open accessAbstract
Background Antiphospholipid syndrome is an autoimmune, hypercoagulable state that is caused by antiphospholipid antibodies. Anticardiolipin antibodies, anti-β2 glycoprotein-I, and lupus anticoagulant are the main autoantibodies found in antiphospholipid syndrome. Despite the amassed body of clinical knowledge, the risk of obstetric complications that are associated with specific antibody profile has not been well-established. Objective The purpose of this study was to assess the risk of obstetric complications in women with primary antiphospholipid syndrome that is associated with specific antibody profile. Study design The Pregnancy In Women With Antiphospholipid Syndrome study is a multicenter, retrospective, cohort study. Diagnosis and classification of antiphospholipid syndrome were based on the 2006 International revised criteria. All women included in the study had at least 1 clinical criteria for antiphospholipid syndrome, were positive for at least 1 antiphospholipid antibody (anticardiolipin antibodies, anti-β2 glycoprotein-I, and/or lupus anticoagulant), and were treated with low-dose aspirin and prophylactic low molecular weight heparin from the first trimester. Only singleton pregnancies with primary antiphospholipid syndrome were included. The primary outcome was live birth, defined as any delivery of a live infant after 22 weeks gestation. The secondary outcomes were preeclampsia with and without severe features, intrauterine growth restriction, and stillbirth.…
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“In observational studies, treatment with LDA and therapeutic dose heparin was associated with live births in 79% of pregnancies on average.52 61–64”
From EULAR recommendations for the management of antiphospholipid syndrome in adults (2019) · cites this paper as [64]
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Azab, N. A., ElGazzar, E. I., Tharwat, S., El‐Saadany, H. M., El-Shereef, R. R., Aboeladl, N. A., Abdel-Fattah, Y., Elkhalifa, M., El-Shanawany, A. T., Fawzy, R. M., et al. (2026) · Thrombosis Research · doi:10.1016/j.thromres.2026.109791
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Metadata
- Authors
- Saccone, G., Berghella, V., Maruotti, G. M., Ghi, T., Rizzo, G., Simonazzi, G., Rizzo, N., Facchinetti, F., Dall’Asta, A., Visentin, S., Sarno, L., Xodo, S., Bernabini, D., Monari, F., Roman, A., Eke, A. C., Hoxha, A., Ruffatti, A., Schuit, E., & Martinelli, P.
- Affiliations
- University of Naples Federico II (IT)
- Thomas Jefferson University (US)
- University of Parma (IT)
- University of Rome Tor Vergata (IT)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- University of Modena and Reggio Emilia (IT)
- University of Padua (IT)
- University of Udine (IT)
- Johns Hopkins University (US)
- Stanford Medicine (US)
- Corresponding author
- Saccone, Gabriele
- ORCID
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 216
- Issue
- 5
- Pages
- 525.e1-525.e12
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2580867287
- Cited by
- 205
- References
- 31
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 24 · 2023: 22 · 2022: 31 · 2021: 19 · 2020: 21 · 2019: 35 · 2018: 20 · 2017: 9
- FWCI
- 20.34
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by-nc-nd)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- primary antiphospholipid syndrome, pregnancy complications, live birth, preeclampsia, fetal growth restriction, stillbirth, anticardiolipin antibodies, anti-beta2-glycoprotein I antibodies, lupus anticoagulant, low-dose aspirin, low molecular weight heparin, pregnancy outcomes
- MeSH terms
- Adult, Anticoagulants, Aspirin, Female, Fetal Growth Retardation, Heparin, Low-Molecular-Weight, Humans, Italy, Platelet Aggregation Inhibitors, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Retrospective Studies, Cohort Studies, Antiphospholipid Syndrome, Antibodies, Antiphospholipid, Stillbirth, Live Birth, beta 2-Glycoprotein I
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