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Ethnicity may be a guide in thrombophilia testing. (Screening for Genetic Mutations).

OB GYN News

| June 01, 2002 | Boschert, Sherry | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

LOS ANGELES -- Genetic test results in 326 pregnancies suggest a role for selective screening by race for gene mutations linked with thrombophilias, Dr. Laxmi V. Baxi said in a poster presentation at the annual meeting of the Society for Gynecologic Investigation.

Investigators screened for three mutations--factor V Leiden, factor II, and methylenetetrahydrofolate reductase (MTHFR)--in 103 women with complicated pregnancies and 223 controls with uncomplicated pregnancies. The complications included severe preedampisia, placental abruption, unexplained midtrimester spontaneous abortion, recurrent abortions, and intrauterine growth restriction.

"One shouldn't go ahead and keep on doing all mutations [tests] in every patient, because there are some ethnic differences," said Dr. Baxi, professor of clinical ob.gyn. at Columbia University, New York.

Factor II mutations were found only in white women of Jewish or ...

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