What are thrombophilias?
Thrombophilia describes an increased tendency of the blood to form clots. Thrombophilias are divided into inherited ones, due to genetic mutations, and acquired ones, such as antiphospholipid syndrome. Pregnancy itself is normally a state of increased blood clotting, which is why the presence of a thrombophilia may call for particular monitoring during pregnancy and the postpartum period.
When is thrombophilia testing recommended?
Testing is not a routine investigation for every pregnant woman. It is mainly considered when there is:
- A personal history of thrombosis, such as venous thrombosis or pulmonary embolism.
- A family history of thrombophilia or thromboembolic disease.
- A history of recurrent miscarriage.
- Serious complications in a previous pregnancy.
Testing and any treatment are always individualized on the basis of your history. Your doctor will explain which tests are needed in your case and what monitoring is appropriate before, during and after pregnancy.