EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SHORTENED COAGULATION PROFILE IN PREGNANCY -COMPARATIVE ANALYSIS IN DIFFERENT TRIMESTERS - RETROSPECTIVE STUDY FROM A TERTIARY CARE CENTRE

Dr. Sarika Singh*, Dr. Bhavika Rishi and Dr. Sunita Sharma

ABSTRACT

Introduction / Background: A state of hypercoagulation and low grade disseminated intravascular coagulation exists during the entire period of pregnancy and immediate postpartum period. While this is beneficial for preventing maternal hemorrhage during pregnancy and delivery, at the same time also predisposes the women for multiple complications (e.g. miscarriages, preeclampsia, intra-uterine growth restriction, etc.). Shortened aPTT (Activated partial thromboplastin time) is a marker of hypercoagulability observed in pregnancy and has been associated with increased incidence of venous thromboembolism (VTE). Materials and methods: This retrospective study was conducted at the Department of Pathology of a tertiary care hospital in North India, including pregnant women who were followed up in the antenatal clinic of the hospital. Objective of the study was to assess the prevalence of shortened Prothrombin time (PT) and aPTT in pregnant women and to further assess the incidence of pre mature rupture of membrane (PROM) and preeclampsia in those with an isolated shortened aPTT, during 3rd trimester and labor. Women with past history of thrombosis, antenatal hemorrhage and bad obstetric history were excluded. Results: Among 173 pregnant women included in the study 71.7% were detected to have a shortened PT, aPTT or both; the commonest abnormality was an isolated shortened aPTT (65/124). Most (83%) of the patients were in their 3rd trimester of pregnancy during which the highest prevalence of shortened aPTT (86%) was seen. Women with a shortened aPTT during 3rd trimester and labor were detected to have a very high incidence of PROM and preeclampsia. Conclusion: There is a high prevalence of shortened PT and aPTT in pregnant women and a shortened aPTT during 3rd trimester and labor is associated with a very high chances of PROM and preeclampsia.

Keywords: Hypercoagulable state, pregnancy, prothrombin time, activated partial thromboplastin time.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )