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Blood, 1 June 2004, Vol. 103, No. 11, pp. 4003-4009.
Prepublished online as a Blood First Edition Paper on February 12, 2004; DOI 10.1182/blood-2003-08-2744.

Submitted August 12, 2003
Accepted January 19, 2004
Clinical Management of Thrombophilia Related Placental Vascular Complications
Benjamin Brenner*
Thrombosis and Haemostasis Unit, Rambam Medical Center, Haifa, Israel
* Corresponding author; email: b_brenner{at}rambam.health.gov.il.
Pregnancy is a hypercoagulable state with an increased thrombotic risk throughout gestation and the post-partum period. Women with thrombophilia may have a further increased risk of placental vascular complications, including, pregnancy loss pre-eclampsia, intrauterine growth restriction and placental abruption. Preliminary data suggest that maternal antithrombotic prophylaxis may result in improved gestational outcome. Randomized trials are underway and hopefully will optimize maternal and neonatal outcome.

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