Haemostatic changes in pregnancy

被引:350
作者
Bremme, KA [1 ]
机构
[1] Karolinska Inst, Karolinska Hosp, Dept Obstet & Gynecol, Dept Women & Child Hlth, SE-17176 Stockholm, Sweden
关键词
normal pregnancy; delivery; post-partum; coagulation; fibrinolysis; haemostasis;
D O I
10.1016/S1521-6926(03)00021-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Normal pregnancy is accompanied by changes in the coagulation and fibrinolytic systems. These include increases in a number of clotting factors (I, II, VII, VIII, IX and XII), a decrease in protein S levels and inhibition of fibrinolysis. As gestation progresses, there is also a significant fall in the activity of activated protein C, an important anticoagulant. While these physiological changes may be important for minimizing intrapartum blood loss, they entail an increased risk of thromboembolism during pregnancy and the post-partum period.
引用
收藏
页码:153 / 168
页数:16
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