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Although non-O blood group and red blood cell (RBC) transfusion are known to be associated with VTE risk, their contribution to pregnancy-associated VTE has received little attention. This study was conducted in a population-based cohort of 1,000,997 deliveries to women with no prior history of VTE or thrombophilia. The independent contributions of ABO blood type and RBC transfusion\u00a0to the risks of antepartum, peripartum and postpartum VTE\u00a0are reported as odds ratios adjusted for risk factors that are considered in current prophylaxis guidelines and other potential confounders. Compared with type O, A and B blood types have higher risk of antepartum and postpartum VTE, with odds ratios between 1.4 and 1.8. Transfusion around delivery has the largest increased risks and a dose-response effect, with adjusted odds ratios from 2.60 (1.71\u20133.97) for 1\u20132 units to 3.55 (1.32\u20139.55) for more than 5 units. ABO blood type and RBC\u00a0transfusion were found to be independent risk factors for pregnancy-associated VTE. Further research is required to understand the underlying mechanisms and to conduct a\u00a0risk-benefit assessment\u00a0of the small volumes of RBCs transfused around delivery.<\/jats:p>","DOI":"10.1038\/s41598-019-49566-3","type":"journal-article","created":{"date-parts":[[2019,9,19]],"date-time":"2019-09-19T10:04:13Z","timestamp":1568887453000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Association of blood group and red blood cell transfusion with the incidence of antepartum, peripartum and postpartum venous thromboembolism"],"prefix":"10.1038","volume":"9","author":[{"given":"Chen","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Le Ray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agneta","family":"Wikman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Reilly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,9,19]]},"reference":[{"issue":"6","key":"49566_CR1","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1056\/NEJMcp1407434","volume":"373","author":"IA Greer","year":"2015","unstructured":"Greer, I. 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