Antiphospholipid antibodies in unselected patients with repeated abortion

Hum Reprod. 1990 Jan;5(1):43-6. doi: 10.1093/oxfordjournals.humrep.a137038.

Abstract

We have studied, prospectively, the incidence of several antiphospholipid antibodies (lupus anticoagulant, anticardiolipin, anti-phosphatidylserine, anti-phosphatidic acid, anti-phosphatidylinositol and anti-thromboplastin antibodies) in 65 consecutive patients with two or more (range 2-8, mean 3.1) abortions. Lupus anticoagulant activity was detected in seven (10.7%) patients and all of them exhibited other antiphospholipid antibodies. Of the previous pregnancies in these seven women, 88% had ended in spontaneous abortion. Four of them achieved pregnancy after low-dose aspirin therapy was started, and carried successfully to term. It is concluded that antiphospholipid antibodies, namely lupus anticoagulant, should be routinely screened in the recurrent spontaneous aborter.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Habitual / drug therapy
  • Abortion, Habitual / etiology
  • Abortion, Habitual / immunology*
  • Adult
  • Antibodies / analysis*
  • Aspirin / therapeutic use
  • Autoimmunity
  • Blood Coagulation Factors / immunology
  • Blood Coagulation Factors / physiology
  • Female
  • Humans
  • Lupus Coagulation Inhibitor
  • Phospholipids / immunology*
  • Pregnancy
  • Prospective Studies

Substances

  • Antibodies
  • Blood Coagulation Factors
  • Lupus Coagulation Inhibitor
  • Phospholipids
  • Aspirin