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Cited by 304

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Mutations in Coagulation Factors in Women with Unexplained Late Fetal Loss

Martinelli, Ida, Taioli, Emanuela, Cetin, Irene, Marinoni, Alessandra, Gerosa, Sonia, Villa, Maria V., Bozzo, Maddalena, Mannucci, Pier M.·2000·New England Journal of Medicine

Abstract

BACKGROUND: Factor V and prothrombin-gene mutations are independent risk factors for venous thrombosis; it is debated whether a mutation in the gene encoding methylenetetrahydrofolate reductase, an enzyme involved in homocysteine metabolism, also increases the risk of venous thrombosis. Whether any of these mutations is associated with an increased risk of late fetal death is not known. METHODS: We studied 67 women with a first episode of unexplained late fetal loss (fetal death after 20 weeks or more of gestation) and 232 women who had had one or more normal pregnancies and no late fetal losses. All the women were tested for the presence of three gene mutations. Women with other thrombophilic conditions were excluded from the study. RESULTS: Eleven of the 67 women with late fetal loss (16 percent) and 13 of the 232 control women (6 percent) had either the factor V or the prothrombin mutation. The relative risks of late fetal loss in carriers of the factor V and prothrombin mutations were 3.2 (95 percent confidence interval, 1.0 to 10.9) and 3.3 (95 percent confidence interval, 1.1 to 10.3), respectively. Thirteen percent of the women whose fetuses died and 20 percent of the control women were homozygous for the mutation in the methylenetetrahydrofolate reductase gene (relative risk, 0.8; 95 percent confidence interval, 0.5 to 1.2). CONCLUSIONS: Both the factor V and the prothrombin mutations are associated with an approximate tripling of the risk of late fetal loss.

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Metadata

Authors
Martinelli, I., Taioli, E., Cetin, I., Marinoni, A., Gerosa, S., Villa, M. V., Bozzo, M., & Mannucci, P. M.
Venue
New England Journal of Medicine
Published
2000-10-05
Volume
343
Issue
14
Pages
1015-1018
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2312867046
Cited by
304
References
32
FWCI
12.04
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Mutations in Coagulation Factors in Women with Unexplained Late Fetal Loss. https://app.cochat.ai/papers/10.1056/nejm200010053431405
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Martinelli, I., Taioli, E., Cetin, I., Marinoni, A., Gerosa, S., Villa, M. V., Bozzo, M., & Mannucci, P. M. (2000). Mutations in Coagulation Factors in Women with Unexplained Late Fetal Loss. New England Journal of Medicine. https://doi.org/10.1056/nejm200010053431405

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