Maternal coagulation inhibitors and the effects of cesarean delivery

B. B. Banias, T. E. Nolan, Lawrence D Devoe, J. S. Krauss

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Maternal hypercoagulability in normal pregnancy results from significant increases in blood factors that promote thrombosis or decreases in factors that inhibit thrombosis, such as antithrombin III (AT-III) and proteins C and S. The precise role of these factors in puerperal hemostasis is not clear. In 10 normal, pregnant women at term undergoing scheduled repeat cesarean section, the percent activities of AT-III, proteins C and S, and C4b-binding protein were determined in peripheral venous blood preoperatively and in samples of uterine venous blood before the uterine incision was made and 5 and 15 minutes after placental delivery using the Laurell Rocket electroimmunodiffusion technique. The mean percent activities of AT-III (73%), protein S (81%) and C4b-binding protein (85%) were lower than those in nonpregnant controls, were similar in peripheral and uterine venous blood and were unchanged after placental delivery. These data suggest that such factors may not play an important role in acute uteroplacental hemostasis during normal pregnancy.

Original languageEnglish (US)
Pages (from-to)741-744
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume37
Issue number8
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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