The potential role of antinuclear antibodies (ANA) in recurrent pregnancy loss (RPL) pathogenesis is still debated, although some evidences suggest that they could affect pregnancy outcome, leading to a higher miscarriage rate in these patients. A hypothesized mechanism is through changes in uterine flow in pre-conceptional stage, by modifying endometrial receptivity in RPL. However, scant data are available, in pregnancy, about their role in RPL placental perfusion, also in relation to its potential treatments, such as low molecular weight heparin (LMWH). The aim of this study is to retrospectively further investigate the correlation between two-dimensional (2D) and three-dimensional (3D) uterine and placental flow indexes and the presence or the absence of ANA in women with unexplained RPL (uRPL), treated or not treated with LMWH.

Bruno, V., Ticconi, C., Martelli, F., Nuccetelli, M., Capogna, M.v., Sorge, R., et al. (2020). Uterine and placental blood flow indexes and antinuclear autoantibodies in unexplained recurrent pregnancy loss: should they be investigated in pregnancy as correlated potential factors? A retrospective study. BMC PREGNANCY AND CHILDBIRTH, 20(1), 44 [10.1186/s12884-020-2724-6].

Uterine and placental blood flow indexes and antinuclear autoantibodies in unexplained recurrent pregnancy loss: should they be investigated in pregnancy as correlated potential factors? A retrospective study

Ticconi, Carlo;Martelli, Federica;Sorge, Roberto;Piccione, Emilio;Pietropolli, Adalgisa
2020-01-20

Abstract

The potential role of antinuclear antibodies (ANA) in recurrent pregnancy loss (RPL) pathogenesis is still debated, although some evidences suggest that they could affect pregnancy outcome, leading to a higher miscarriage rate in these patients. A hypothesized mechanism is through changes in uterine flow in pre-conceptional stage, by modifying endometrial receptivity in RPL. However, scant data are available, in pregnancy, about their role in RPL placental perfusion, also in relation to its potential treatments, such as low molecular weight heparin (LMWH). The aim of this study is to retrospectively further investigate the correlation between two-dimensional (2D) and three-dimensional (3D) uterine and placental flow indexes and the presence or the absence of ANA in women with unexplained RPL (uRPL), treated or not treated with LMWH.
20-gen-2020
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/40 - GINECOLOGIA E OSTETRICIA
English
Heparin, Low-Molecular-Weight; Humans; Imaging, Three-Dimensional; Pilot Projects; Placental Circulation; Pregnancy; Pulsatile Flow; Ultrasonography, Doppler; Uterine Artery; ANA; LMWH; Placental blood flow supply; VOCAL; uRPL; Adult; Antibodies, Antinuclear; Anticoagulants; Blood Flow Velocity; Female; Ultrasonography, Prenatal
Bruno, V., Ticconi, C., Martelli, F., Nuccetelli, M., Capogna, M.v., Sorge, R., et al. (2020). Uterine and placental blood flow indexes and antinuclear autoantibodies in unexplained recurrent pregnancy loss: should they be investigated in pregnancy as correlated potential factors? A retrospective study. BMC PREGNANCY AND CHILDBIRTH, 20(1), 44 [10.1186/s12884-020-2724-6].
Bruno, V; Ticconi, C; Martelli, F; Nuccetelli, M; Capogna, Mv; Sorge, R; Piccione, E; Pietropolli, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/262232
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