Levels of angiogenic factors in pregnancy and post-partum bleeding

被引:4
|
作者
Eskild, Anne [1 ,2 ,3 ]
Jeansson, Stig [2 ,4 ]
Jenum, Pal A. [5 ]
Staff, Anne C. [2 ,6 ]
Thadhani, Ravi [7 ,8 ]
Karumanchi, Ananth [7 ,9 ]
Vatten, Lars J. [10 ]
机构
[1] Akershus Univ Hosp, Dept Obstet & Gynecol, N-1478 Lorenskog, Norway
[2] Univ Oslo, Fac Med, N-0316 Oslo, Norway
[3] Norwegian Inst Publ Hlth, Div Mental Hlth, Oslo, Norway
[4] Ullevaal Univ Hosp, Dept Microbiol, Oslo, Norway
[5] Asker & Baerum Hosp, Dept Microbiol, Baerum, Norway
[6] Ullevaal Univ Hosp, Dept Obstet & Gynecol, Oslo, Norway
[7] Harvard Univ, Sch Med, Boston, MA USA
[8] Massachusetts Gen Hosp, Dept Med, Renal Unit, Boston, MA 02114 USA
[9] Beth Israel Deaconess Med Ctr, Dept Med Obstet & Gynecol, Boston, MA 02215 USA
[10] Norwegian Univ Sci & Technol, Dept Publ Hlth, N-7034 Trondheim, Norway
关键词
Post-partum; bleeding; angiogenic factors; soluble fms-like tyrosine kinase-1 (sFlt-1); pregnancy;
D O I
10.1080/00016340802415622
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We have studied if serum levels of soluble fms-like tyrosine kinase-1 (sFlt-1) and placenta growth factor (PlGF) in pregnancy could predict excess post-partum bleeding. In 392 normotensive singleton pregnancies, concentrations of sFlt-1 and PlGF in the first, second, and third trimester were compared between women with and without excess post-partum bleeding, defined as blood loss volume of at least 500 mL. Mean concentrations of sFlt-1 were consistently higher in all three trimesters among women who had excess post-partum bleeding compared to women without this, but significantly higher only in the second trimester. For PlGF, there were no significant differences between the groups. High concentrations of the anti-angiogenic factor sFlt-1 in maternal circulation during pregnancy may be associated with an increased risk of excess post-partum bleeding.
引用
收藏
页码:1081 / 1083
页数:3
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