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Quantitating Iron Transport Across the Mouse Placenta In Vivo Using Nonradioactive Iron Isotopes
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Published on: May 10, 2022

Haemostatic reference intervals in pregnancy.

Pal B Szecsi1, Maja Jørgensen, Anna Klajnbard

  • 1Department of Clinical Biochemistry, Gentofte Hospital, University of Copenhagen, Denmark. palsze01@geh.regionh.dk

Thrombosis and Haemostasis
|February 23, 2010
PubMed
Summary
This summary is machine-generated.

Establishing gestational age-specific reference intervals for coagulation tests is crucial for accurately diagnosing and treating haemostatic disorders in pregnant women. This study provides essential reference values for various haemostasis parameters throughout pregnancy and postpartum.

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Area of Science:

  • Obstetrics and Gynecology
  • Hematology
  • Clinical Chemistry

Background:

  • Standard haemostatic reference intervals are derived from non-pregnant individuals, potentially leading to misdiagnosis in pregnant women.
  • Accurate interpretation of coagulation tests is vital for managing haemostatic disorders during pregnancy, delivery, and postpartum.

Purpose of the Study:

  • To establish gestational age-specific reference intervals for key coagulation tests during normal pregnancy.
  • To compare haemostatic parameters in pregnant women with established non-pregnant reference ranges.

Main Methods:

  • Plasma samples were collected from 801 women with expected normal pregnancies at multiple gestational stages and postpartum.
  • Reference intervals were calculated for 391 uncomplicated pregnancies for activated partial thromboplastin time (aPTT), fibrinogen, fibrin D-dimer, antithrombin, free protein S, and protein C.
  • Additional tests, including prothrombin time (PT) and coagulation factors, were analyzed in a subgroup of 186 women.

Main Results:

  • Coagulation factors II, V, X, XI, XII, antithrombin, protein C, aPTT, and PT remained stable and within non-pregnant ranges.
  • Fibrinogen, D-dimer, and factors VII, VIII, and IX significantly increased during pregnancy.
  • Protein S activity decreased markedly, while free protein S showed a slight decrease and total protein S remained stable.

Conclusions:

  • Gestational age-specific reference values are essential for accurate interpretation of haemostasis tests during pregnancy, delivery, and puerperium.
  • Significant changes in specific coagulation parameters necessitate distinct reference ranges for pregnant populations.