Premium
Antinuclear autoantibodies and pregnancy outcome in women with unexplained recurrent miscarriage
Author(s) -
Ticconi Carlo,
Pietropolli Adalgisa,
Borelli Barbara,
Bruno Valentina,
Piccione Emilio,
Bernardini Sergio,
Di Simone Nicoletta
Publication year - 2016
Publication title -
american journal of reproductive immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.071
H-Index - 97
eISSN - 1600-0897
pISSN - 1046-7408
DOI - 10.1111/aji.12560
Subject(s) - miscarriage , autoantibody , medicine , pregnancy , anti nuclear antibody , recurrent miscarriage , obstetrics , outcome (game theory) , immunology , antibody , biology , genetics , mathematics , mathematical economics
Problem To investigate whether antinuclear autoantibodies ( ANA ) could be related to the outcome of the successive pregnancy in women with unexplained recurrent miscarriage ( uRM ). Methods Circulating ANA were measured by indirect immunofluorescence in 86 women with uRM before pregnancy, repeated in the first trimester of the successive gestation and correlated with pregnancy outcome. Results Forty‐one women were ANA − and 45 were ANA + before pregnancy. No relation was found between pre‐pregnancy ANA status and the outcome of the successive pregnancy. However, when these women were monitored at 7th week during their pregnancy for ANA , of the 22 ANA + women who remained ANA + seven miscarriages (31.8%) were observed, whereas all of the 23 ANA + women who became ANA − had pregnancies ongoing beyond the 20th week without miscarriage. Conclusions ANA status could have a role in uRM . Disappearance of ANA in early pregnancy could have a favorable prognostic value in the successive pregnancy.