Impact of Close Surveillance on Pregnancy Outcomes in Women with Thrombosis History
Author Information
Author(s): Salim Raed, Czarnowicki Tali, Nachum Zohar, Shalev Eliezer
Primary Institution: Department of Obstetrics and Gynecology, HaEmek Medical Center, Afula, Israel
Hypothesis
Does close antepartum surveillance improve pregnancy outcomes among women with a history of antepartum complications attributed to thrombosis?
Conclusion
Close antepartum surveillance may contribute to improvement in the perinatal outcomes of women with prior antepartum complications attributed to thrombosis.
Supporting Evidence
- The incidence of antepartum complications was significantly reduced after close surveillance.
- Mean birth weight improved significantly after close surveillance.
- Gestational age at delivery increased significantly after close surveillance.
Takeaway
This study found that keeping a close watch on pregnant women who had problems in previous pregnancies can help them have healthier babies.
Methodology
The study followed women with previous antepartum complications and tested them for thrombophilia, comparing outcomes before and after close surveillance.
Potential Biases
Potential bias due to non-randomized design and the possibility of unrecognized thrombophilia in the non-thrombophilic group.
Limitations
The study was not randomized, and it did not separate the effects of LMWH treatment from close surveillance.
Participant Demographics
54 Arab women and 43 Jewish women participated in the study.
Statistical Information
P-Value
p<0.01
Confidence Interval
95% CI 1.4 to 7.3
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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