Lupus & antiphospholipid syndrome

Prognostic Value of Lupus Anticoagulant and Anti–β2 Glycoprotein I Antibody in Adverse Pregnancy Outcomes

Arthritis RheumatolPublished Prospective cohort study

Authors' conclusion

LA-RVVT, anti-β2GPI IgG, complications including hypertension, and a history of IUFD were valuable in identifying obstetric APS.

Study context

Population
Pregnant women not using heparin (those with an obstetric antiphospholipid syndrome (APS) diagnosis before pregnancy excluded), enrolled July 2021–March 2024
Participants
1,237 participants
Outcome
Prognostic value of commercially available aPL-related tests for obstetric APS (early-onset preeclampsia, IUFD, small for gestational age)
Methodological detailsPregnancy outcomes followed until December 2024
  • Pregnancy outcomes followed until December 2024

Main finding

As reported in the abstract

Adverse pregnancy outcomes: prevalence and aPL predictors

Early-onset preeclampsia prevalence

1.4%

17

Intrauterine fetal death (IUFD) prevalence

0.7%

9

Small for gestational age prevalence

0.9%

11

AUC when combined with a history of preeclampsia or IUFD, respectively

about 0.8

Observational data: associations, not effects.

Original publication

Prognostic Value of Lupus Anticoagulant and Anti–β2 Glycoprotein I Antibody in Adverse Pregnancy Outcomes. Arthritis Rheumatol. Published 21 December 2025. doi:10.1002/art.43341

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