Ostalo
Successful Delivery of Fetus with Fetal Inherited Thrombophilia After Two Fetal Deaths
Josip Juras
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Marina Ivanišević
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Slavko Orešković
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Slobodan Mihaljević
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Goran Vujić
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Josip Đelmiš
; University of Zagreb, University Hospital Centre Zagreb, School of Medicine, Department of Obstetrics and Gynecology, Zagreb, Croatia
Sažetak
A pregnant woman with inherited thrombophilia (factor II mutation – 20210A) had two late pregnancy losses. The first pregnancy was not well documented, but the second pregnancy was complicated by fetal thrombophilia and umbili- cal artery thrombosis, proven after fetal death. During the third pregnancy enoxaparine was introduced in the therapy and early amniocentesis was performed. Fetal thrombophilia was proven again. Early delivery was induced and per- formed with no complications, resulting in a live healthy infant. A history of miscarriages or recurrent fetal loss should raise suspicion of thrombophilia as a potential cause. It is debatable whether amniocentesis in pursuit of fetal thrombo- philia should be performed and whether this will lead to a better perinatal outcome. When fetal thrombophilia is diag- nosed, an earlier induction of delivery should be considered, taking into account the fetal extrauterine viability. The aforementioned approach of early delivery in cases of inherited fetal thrombophilia could be a possible solution for better perinatal outcomes.
Ključne riječi
inherited thrombophilia; umbilical cord thrombosis; fetal death; amniocentesis; delivery
Hrčak ID:
118398
URI
Datum izdavanja:
30.12.2013.
Posjeta: 1.297 *