Spontaneous platelet aggregation in heparinised blood during pregnancy

A marked increase in spontaneous platelet aggregation in whole blood was found during pregnancy. The increased spontaneous aggregation was most evident in whole blood anticoagulated with heparin; it was less marked in blood that contained citrate as anticoagulant. Studies of blood that contained both anticoagulants indicated that it is heparin that potentiates aggregation in blood taken during pregnancy rather than citrate that inhibits it. Increased spontaneous aggregation was seen in normotensive pregnancy, in pregnancy complicated by essential hypertension and in pregnancy-induced hypertension. In normotensive pregnancy it was evident at 16 weeks gestation but in pregnancy complicated with essential hypertension it was not evident until 24 weeks gestation. For all the women spontaneous aggregation had returned to normal six weeks after delivery.