Abstract
Objectives: We conducted this prospective case-control study in rural population based medical institute of central India. The aim of the study was to assess and analyze the coagulation profile (PT, aPTT, fibrinogen and fibrin degradation product [FDP] levels) and platelet counts in 3rd trimester normotensive, pre-eclamptic and eclamptic pregnant women.
Methods: In all subjects (cases and controls) 2 ml of blood sample was collected in EDTA and tri-sodium citrate bulbs for platelet counts and coagulation profile respectively.
Results: The mean PT and aPTT were significantly high in cases and mean fibrinogen level was significantly low in cases as compared to controls. FDP was significantly increased in cases as compared to non-detectable level in the controls. Thrombocytopenia was observed in 45% of cases. No any correlation between level of platelet count and abnormal coagulation test results (PT, aPTT, fibrinogen and FDP) were found.
Conclusion: We found in our study that platelet count and above coagulation tests should be performed in cases of pre eclampsia and eclampsia to identify severity of disease and to prevent development of complications.
Keywords: pre eclampsia, eclampsia, platelet count, coagulation tests.
References
- de Boer K, ten Cate JW, Sturk A, Borm JJ, Treffers PE. Enhanced thrombin generation in normal and hypertensive pregnancy. Am J Obstet Gynecol 1989 Jan;160(1):95-100.
- Prisco D, Ciuti G, Falciani M. Hemostatic changes in normal pregnancy. Haematologica reports 2005;1(10):1-5.
- Burrows RF, Hunter DJ, Andrew M, Kelton JG. A prospective study investigating the mechanism of thrombocytopenia in preeclampsia. Obstet Gynecol 1987 Sep;70(3 Pt 1):334-8.
- Mohapatra S, Pradhan BB, Satpathy UK, Mohanty A, Pattnaik JR. Platelet estimation: its prognostic value in pregnancy induced hypertension. Indian J Physiol Pharmacol 2007 Apr-Jun;51(2):160-4.
- Dube B, Bhattacharya S, Dube RK. Blood coagulation profile in Indian patients with pre-eclampsia and eclampsia. Br J Obstet Gynaecol 1975 Jan;82(1):35-9.
- Vrunda JK, Shaila S. Lowered platelet count: A prognostic index in preeclampsia. J Obstet Gynaecol Ind 2004; 54(3):235-36.
- Jahromi BN, Rafiee SH. Coagulation factors in severe preeclampsia. Iran Red Crescent Med J 2009;11(3):321-4.
- Srivastava M, Bali S, Pandey J, Nayar V, Talib VH. Pregnancy induced hypertension and antithrombin-III. Indian J Pathol Microbiol 1995 Jul;38(3):257-60.
- FitzGerald MP, Floro C, Siegel J, Hernandez E. Laboratory findings in hypertensive disorders of pregnancy. J Natl Med Assoc 1996 Dec;88(12):794-8.
- Bonnar J, McNicol GP, Douglas AS. Coagulation and fibrinolytic systems in pre-eclampsia and eclampsia. Br Med J 1971; 2(5752): 12-16.
- Wood SM, Burnett D, Picken AM, Farrell GW, Wolf P. Assessment of coagulation and fibrinolysis in pre-eclampsia. Br Med J 1974 Apr 20;2(5911):145-9.
- Heilmann L, Rath W, Pollow K. Hemostatic abnormalities in patients with severe preeclampsia. Clin Appl Thromb Hemost 2007 Jul;13(3):285-91.
- Priyadarshini G, Mohanty RR. Assessment of coagulation profile and its correlation with severity of preeclampsia in women of Odisha. A comparative cross-sectional study.. Int J Basic Appl Physiol 2014;3(1): 139-145.
- Han L, Liu X, Li H, Zou J, Yang Z, Han J, et al. Blood coagulation parameters and platelet indices: Changes in normal and preeclamptic pregnancies and predictive values for preeclampsia. PLoS ONE 2014;9(12):e114488.
- Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY editors. Williams obstetrics. 23rd New York: Mcgraw- Hill; 2010. p. 706 -56.
- Redman CW. Coagulation problems in human pregnancy. Postgrad Med J 1979 May;55(643):367-71.
- Dave R, Agravat A, Dhruva G 1, Katara A. Comparative study of coagulation factors in Pre-eclampsia and normal pregnancy. Int J Sci Res April 2014. 3(4).
- Jambhulkar S, Shrikhande A, Shrivastava R, Deshmukh K. Coagulation profile in pregnancy induced hypertension. Indian J Hematol Blood Transfus 2001 March; 19(1): 3-5.
- O'Brien WF, Saba HI, Knuppel RA, Scerbo JC, Cohen GR. Alterations in platelet concentration and aggregation in normal pregnancy and preeclampsia. Am J Obstet Gynecol 1986 Sep;155(3):486-90.
- Whigham KA, Howie PW, Drummond AH, Prentice CR. Abnormal platelet function in pre-eclampsia. Br J Obstet Gynaecol 1978 Jan;85(1):28-32.
Corresponding Author
Vishal Agrawal
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone no. +918605728404