[Immunological treatment of spontaneous repeated abortions. The value of transfusing the partner's leukocytes in the third week of gestation]

J Gynecol Obstet Biol Reprod (Paris). 1993;22(5):471-5.
[Article in French]

Abstract

Twenty-two nulli- all primipara who had had previous repeated spontaneous abortions and who did not have anti-HLA antibodies for the partner, received immunological treatment consisting of a single transfusion of the partner's lymphocytes in the third week of pregnancy, and giving natural progesterone supplements after the kinetic of Beta-HCG in the plasma had been assessed. The number of pregnancies which went to terme (94% success) was significantly better than those obtained in our first protocol which was to give one to three transfusions of the partner's lymphocytes before the pregnancy started (58% success rare after 24 treatments). Apart from obtaining much better results the second protocol made it possible to avoid giving a significant number of useless transfusions (22% of pre-conceptual transfusions were not followed by a pregnancy at all).

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Abortion, Habitual / blood
  • Abortion, Habitual / immunology*
  • Abortion, Habitual / therapy*
  • Chorionic Gonadotropin / blood
  • Chorionic Gonadotropin, beta Subunit, Human
  • Clinical Protocols
  • Combined Modality Therapy
  • Female
  • HLA Antigens / blood
  • Humans
  • Immunotherapy / methods*
  • Leukocyte Transfusion / methods*
  • Peptide Fragments / blood
  • Preconception Care / methods*
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy Trimester, First
  • Progesterone / administration & dosage
  • Progesterone / therapeutic use
  • Sexual Partners*

Substances

  • Chorionic Gonadotropin
  • Chorionic Gonadotropin, beta Subunit, Human
  • HLA Antigens
  • Peptide Fragments
  • Progesterone