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[Haemocoagulative modifications correlated with pregnancy].

A L Borrelli1, D De Lucia, M Bernacchi

  • 1Dipartimento di Ostetricia, Ginecologia e Neonatologia, Facoltà di Medicina e Chirurgia, Seconda Università degli Studi di Napoli, Napoli, Italy. antoniol.borrelli@unina2.it

Minerva Ginecologica
|September 8, 2006
PubMed
Summary
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Normal pregnancy induces a hypercoagulable state, increasing thrombosis risk. Monitoring coagulation and fibrinolysis markers is crucial for identifying potential thrombophilia during pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Hematology
  • Physiology

Context:

  • Pregnancy involves significant physiological adaptations in hemostasis.
  • Understanding these changes is vital for managing pregnancy-related complications.

Purpose:

  • To investigate the physiological alterations in coagulation and fibrinolysis during normal pregnancy.
  • To assess changes in specific hemostatic markers across trimesters.

Summary:

  • A longitudinal study of 120 pregnant women tracked coagulation and fibrinolysis markers at 12, 24, and 36 weeks.
  • Results indicated increased levels of coagulation factors (VII, VIII), thrombin generation markers (F1+2, D dimer), and fibrinolytic components (t-PA, PAI-1).
  • Anticoagulant markers (Protein S) decreased, while Antithrombin III (ATIII) activity and activated protein C resistance increased.

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Impact:

  • Normal pregnancy is characterized by a hypercoagulable state, posing a moderate risk of thrombosis.
  • Broad-spectrum assays for thrombin/fibrin formation can identify coagulation/fibrinolysis activation.
  • Monitoring thrombophilia markers is recommended when coagulation parameters exceed normal pregnancy ranges.