Pregnancy Outcome of Women with Antiphospholipid Syndrome, a Retrospective Descriptive Case Study

Abstract

There is now a consensus on the need to provide healthcare, before and during pregnancy, to women at high risks of APS related obstetric complications diagnosed based on their medical (thrombosis) or obstetric (repeated embryo-fetal losses) history. However, the best therapeutic options are yet to be agreed upon. This study presents the experience of the Departement C of the Maternity and neonatology Center of Tunis (CMNT), a tertiary hospital in managing this pathology. Patients and methodologies: This is a five-year descriptive retrospective study of cases reported to CMNT maternity department. Outcome: 34 patients records were analyzed. The average age of the patients was 32 years with extremes of 21 and 44 years. The therapeutic option was a combination of acetyl salicylic acid and low molecular weight heparin. The success rate of the treatment was 97% full-term pregnancies against 12% without treatment.