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• W2133804006 abstract "Disturbance of the maternal haemostatic system is a characteristic feature of pre-eclampsia [ 1 Greer I.A. Hypertension. in: Calder A.A. Dunlop W. High risk pregnancy. Blackwell Science, Oxford1995: 71-115 Google Scholar ]. Microthrombi formation and excess fibrin deposition may affect many maternal organs in pre-eclampsia and contribute to the multisystem dysfunction which characterizes the clinical syndrome. Compared with haemostasis in the healthy adult, fetal haemostasis is characterized by lower circulating levels of coagulation factors and a fetal fibrinolytic system which may be less able to generate plasmin [ 2 Andrew M. Developmental hemostasis relevance to thromboembolic complications in pediatric patients. Thromb Haemost. 1995; 74: 415-425 PubMed Google Scholar ]. The effect of pre-eclampsia on haemostasis in the fetal circulation remains unclear. Increased, decreased and unchanged levels of coagulation and fibrinolytic factors have been reported [ 3 Spencer J.A. Smith M.J. Cederholm-Williams S.A. Wilkinson A.R. Influence of pre-eclampsia on concentrations of haemostatic factors in mothers and infants. Arch Dis Child. 1983; 58: 739-741 Crossref PubMed Scopus (8) Google Scholar , 4 Hathaway W.E. Mahasandana C. Makowski E.L. Cord blood coagulation studies in infants of high-risk pregnant women. Am J Obstet Gynecol. 1975; 121: 51-57 PubMed Scopus (26) Google Scholar , 5 Lox C.D. Word R.A. Corrigan J.J. Effects of preeclampsia on maternal and cord blood clotting activity. Am J Perinatol. 1985; 2: 279-282 Crossref PubMed Scopus (8) Google Scholar , 6 Condie R.G. Components of the haemostatic mechanism at birth in pre-eclampsia with particular reference to fetal growth retardation. Br J Obstet Gynaecol. 1976; 83: 943-947 Crossref Scopus (7) Google Scholar ]. These studies have focused on activators and inhibitors of the coagulation and fibrinolytic systems. Recent improvements in laboratory methodology allow the study of the end-products of both coagulation (thrombin-antithrombin complex) and fibrinolysis (fibrin-degradation product [D-dimer]). These assays allow the quantification of in vivo thrombin and fibrin production [ 7 Pelzer H. Schwartz A. Heimburger N. Determination of human thrombin-antithrombin III complex in plasma with an enzyme-linked immunosorbent assay. Thromb Haemost. 1988; 59: 101-106 PubMed Google Scholar , 8 Gaffney PJ FDP (letter)Lancet. 1972; 2: 1422 Abstract Scopus (21) Google Scholar ]. Using this methodology, we have previously observed changes in the levels of thrombin-antithrombin complex and fibrin-degradation products in the uteroplacental circulation of pregnancies complicated by pre-eclampsia [ 9 Higgins J.R. Walshe J.J. Darling M.R. Norris L. Bonnar J. Hemostasis in the uteroplacental and peripheral circulations in normotensive and pre-eclamptic pregnancies. Am J Obstet Gynecol. 1998; 179: 520-526 Abstract Full Text Full Text PDF PubMed Scopus (69) Google Scholar ], suggesting an activation of both the coagulation and fibrinolytic systems." @default.
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• W2133804006 date "2000-09-01" @default.
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• W2133804006 title "The Effect of Pre-eclampsia on Coagulation and Fibrinolytic Activation in the Neonate" @default.
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