Haemostasis in normal pregnancy: a balancing act?

VA Holmes, Julie Wallace

    Research output: Contribution to journalArticle

    67 Citations (Scopus)

    Abstract

    Pregnancy is a risk factor for venous thrombosis and the incidence of venous thromboembolism during normal pregnancy is 6-fold higher during pregnancy than in the general female population of child-bearing age. This incidence is, however, remarkably low given the increases in markers of haemostatic activation observed during normal pregnancy. During normal healthy pregnancy there are substantial changes in the haemostatic system, many of which are procoagulant and supposed to be in preparation for the haemostatic challenge of delivery. Normal haemostasis requires a balance between coagulation and fibrinolysis to maintain the integrity of the vasculature, and complex physiological changes are evident during pregnancy which appear to ensure a constant coagulation/fibrinolysis balance. This balance is maintained, at least partly, by an increase in fibrinolytic activity, but decreases in other factors such as factor XI and monocyte tissue factor expression may also serve to counterbalance procoagulant changes.
    LanguageEnglish
    Pages428-432
    JournalBiochemical Society Transactions
    Volume33
    Issue numberPart 2
    Publication statusPublished - Apr 2005

    Fingerprint

    Hemostasis
    Pregnancy
    Hemostatics
    Fibrinolysis
    Factor XI
    Incidence
    Venous Thromboembolism
    Thromboplastin
    Venous Thrombosis
    Monocytes
    Population

    Cite this

    Holmes, VA., & Wallace, J. (2005). Haemostasis in normal pregnancy: a balancing act? Biochemical Society Transactions, 33(Part 2), 428-432.
    Holmes, VA ; Wallace, Julie. / Haemostasis in normal pregnancy: a balancing act?. In: Biochemical Society Transactions. 2005 ; Vol. 33, No. Part 2. pp. 428-432.
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    Holmes, VA & Wallace, J 2005, 'Haemostasis in normal pregnancy: a balancing act?', Biochemical Society Transactions, vol. 33, no. Part 2, pp. 428-432.

    Haemostasis in normal pregnancy: a balancing act? / Holmes, VA; Wallace, Julie.

    In: Biochemical Society Transactions, Vol. 33, No. Part 2, 04.2005, p. 428-432.

    Research output: Contribution to journalArticle

    TY - JOUR

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