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Социодемографски профил и мутации за тромбофилија кај жени со неуспешна in vitro фертилизација – почетни резултати од студија на случај и контрола

Authors: Petkovikj, Elena; Hristova Dimceva, Anita; Grubovic Rastvorceva, Rada; Useini, Sedula;

Социодемографски профил и мутации за тромбофилија кај жени со неуспешна in vitro фертилизација – почетни резултати од студија на случај и контрола

Abstract

There are many factors for in vitro fertilization (IVF) failure, and hereditary thrombophilia has been mentioned as one of them in the last few years. Thrombophilia is a condition of predisposition to thromboembolism. The aim of the study was to evaluate the sociodemographic characteristics and to examine the representation of thrombophilic mutations in women with IVF failure. Material and methods: In a retrospective-prospective case-control study we evaluated 52 women, divided in two groups. Twenty-twowomen with at least three IVF failures were included in the examined group (EG). Thirty women, age matched, who gave birth to at least one healthy child without obstetric complications were included in the control group. Presence of gene mutations for factor II Prothrombin (G20210A), factor V Leiden (FVL) and methylentetrahydrofolate reductase (MTHFR C677T) was examined in both groups. Sociodemographic data, data from personal, family and obstetric anamnesis was collected with standard questionnaire. Results: Representation of nationality in both groups roughly corresponds to the national structure in Republic of Macedonia. In both groups the most prevalent age was from 30 to 34 years (40% in the CG and 50% in the EG). According to the degree of education, homogeneity between the two groups was registered. In most of the EG, MTHFR heterozygous was 63.6% vs. 56.7% in the CG, followed by the FV Leiden heterozygous with 13.6% vs. 3.3% in the CG, MTHFR homozygous with 9.1% vs. 6.7% in CG, factor II Prothrombin (G20210A) heterozygous with 4.5% vs. 6.7 in CG. 72.7% of women in the EG and 60% in the CG had one thrombophilic mutation, and 9.1% of women in EG and 6.7% in CG had two thrombophilic mutations. 18.2% of women in EG and 33.3% in CG did not have any mutations. Conclusion: The sociodemographic profile of women with IVF failure is a woman aged between 30 and 34 years with a university degree, with at least one thrombophilic mutation. Thrombophilic mutation has not been registered in only a small percentage of women with failed IVF.

За неуспешната in vitro фертилизација (ИВФ) се заслужни повеќе фактори, меѓу кои последниве години се вбројува и наследната тромбофилија. Тромбофилија е состојба на предиспозиција за тромбоемболизам. Цел на трудот е да се евалуираат социодемографските карактеристики и да се испита застапеноста на мутациите за тромбофилија кај жените со неуспешна in vitro фертилизација. Материјал и методи: Во ретроспективно-проспективна студија на случај и контрола се евалуирани 52 жени, поделени во две групи. Во испитуваната група (ИГ) се вклучени 22 жени со најмалку три неуспешни ИВФ. Во контролната група (КГ) се вклучени 30 жени на иста возраст, што веќе родиле барем едно здраво дете, без акушерски компликации. Кај жените е испитано присуство на мутации на генот за фактор II протромбин (G20210A), фактор V Leiden (FVL) и метилентетрахидрофолатредуктаза (MTHFR C677T). Социодемографски податоци, податоци од лична, акушерска и семејна анамнеза беа прибрани со стандарден прашалник. Резултати: Застапеноста на националноста во испитуваните групи приближно одговара на националната структура во Република Македонија. И во двете групи најзастапена група е на возраст од 30 до 34 години (40% во КГ и 50% во ИГ). Според степенот на образование се регистрира хомогеност помеѓу двете групи. Во ИГ во најголем процент се регистрира MTHFR хетерозигот 63,6% vs. 56,7% во КГ, потоа FV Leiden хетерозигот со 13,6% vs. 3,3% во КГ, MTHFR хомозигот со 9,1% vs 6,7% во КГ и фактор II (G20210A) хетерозигот со 4,5% vs. 6,7 во КГ. 72,7% од жените во ИГ и 60% во КГ имаат присуство на една тромбофилна мутација, а 9,1% од жените во ИГ и 6,7% во КГ имаат присуство на две тромбофилни мутации. 18,2% од жените во ИГ и 33,3% во КГ немаат ниту една мутација. Заклучок: Социодемографскиот профил на жените со неуспешни ИВФ е жена на возраст помеѓу 30 и 34 години, со високо образование, кај која има присуство на најмалку една тромбофилна мутација. Само кај мал процент од жените со неуспешни ИВФ не е регистрирана ниту една тромбофилна мутација.

Keywords

prothrombin, тромбофилија, метилентетрахидрофолат редуктаза, factor V Leiden, протромбин, IVF failure, фактор V Leiden, неуспешна ИВФ, methylentetrahydrofolate reductase, thrombophilia

11. Grandone E, Colaizzo D, Lo Bue A, Checola MG, Cittadini E, Margaglione M. Inherited thrombophilia and in vitro fertilization implantation failure. Fertil Steril 2001;76: 201-202. [OpenAIRE]

1. Simon A, Laufer N. Repeated implantation failure: clinical approach. Fer- 12. Martinelli I, Taiolo E, Ragni G, et al. til Steril 2012; 97:1039-1043. Embryo implantation after assisted 2. Fukui A, Funamizu A, Yokota M, Ya- reproductive procedures and maternal thrombophilia. Haematologica 2003; 88: 789-793.

13. Di Nisio M, Rutjes AWS, Ferrante N, Tiboni GM, Cucurullo F, Porreca E. Thrombophilia and outcomes of assisted reproduction technologies: a systematic review and meta-analysis. Blood 2011; 18:2670-2678. [OpenAIRE]

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
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