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Prepublished online as a Blood First Edition Paper on May 24, 2002; DOI 10.1182/blood-2002-01-0149.
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Blood, 1 August 2002, Vol. 100, No. 3, pp. 1060-1062
BRIEF REPORT
Temporary increase in the risk for recurrence during pregnancy in
women with a history of venous thromboembolism
Ingrid Pabinger,
Helga Grafenhofer,
Paul A. Kyrle,
Peter Quehenberger,
Christine Mannhalter,
Klaus Lechner, and
Alexandra Kaider
From the Department of Internal Medicine I, Division of
Haematology and Blood Coagulation, the Department of Laboratory
Medicine, and the Department of Medical Computer Sciences, Vienna
University Hospital, Austria.
There is strong evidence that the incidence of venous
thromboembolism (VTE) is increased during pregnancy. However, it is unknown whether and to which extent pregnancy influences the risk for
recurrent VTE in women with previous thrombosis. To investigate whether
pregnancy temporarily increases the risk for recurrent thrombosis, we
retrospectively evaluated the recurrence rate in 109 women who had at
least one pregnancy after an episode of VTE by comparing the time
period during pregnancy with the nonpregnant period. Forty-three women
had a first recurrence during a total observation time of 1014 years.
Eight events (73 observation years) occurred during pregnancy, and 35 events (941 observation years) occurred outside pregnancy.
Recurrence rates per 100 patient-years were 10.9% during and 3.7%
outside pregnancy. Relative risk during pregnancy was 3.5 (95%
confidence interval, 1.6-7.8; P = .002). Our data suggest
that pregnancy leads to a temporary increase in the risk for recurrent
thrombotic events.

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