Table 3.

Pooled proportion of VTE among women who did not receive antepartum prophylaxis, in randomized trials of pregnant patients with positive antiphospholipid antibodies and obstetrical complications

ReferenceVTEAntepartum risk (aspirin or placebo)
%95% CI
Prior pregnancy loss    
 Silver et al72  0/22*   
 Kutteh et al36  0/25   
 Laskin et al73  0/46   
 Rai et al37  0/45   
 Pattison et al38  0/40   
 Farquharson et al39  0/47   
 Goel et al74  0/39   
 Laskin et al42  0/20   
 Subtotal 0/284 0-1.3 
Prior placenta-mediated pregnancy complications    
 Rodger et al43  0/10   
 van Hoorn et al40  0/16   
 Subtotal 0/26 0-27.8 
 Total 0/310 0-1.2 
ReferenceVTEAntepartum risk (aspirin or placebo)
%95% CI
Prior pregnancy loss    
 Silver et al72  0/22*   
 Kutteh et al36  0/25   
 Laskin et al73  0/46   
 Rai et al37  0/45   
 Pattison et al38  0/40   
 Farquharson et al39  0/47   
 Goel et al74  0/39   
 Laskin et al42  0/20   
 Subtotal 0/284 0-1.3 
Prior placenta-mediated pregnancy complications    
 Rodger et al43  0/10   
 van Hoorn et al40  0/16   
 Subtotal 0/26 0-27.8 
 Total 0/310 0-1.2 

Placenta-mediated pregnancy complications include pre-eclampsia, placental abruption, small-for-gestational-age neonate, and late pregnancy loss. The postpartum VTE risk was not reported in any of the included studies.

*

Included 1 patient with a prior history of VTE.

One patient with APS and prior provoked VTE had an antepartum VTE at 11 weeks of gestation while receiving LMWH prophylaxis (LMWH data not shown).

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