Activated Partial Thromboplastin Time (APTT) and Prothrombin Time (PT) Level among Sudanese women with Recurrent Miscarriage
Abstract
Background: Miscarriage is that the commonest complication of pregnancy, defined as rate of pregnancy loss in women with a missed menstrual period and positive urine pregnancy and it is occurrence of three consecutive pregnancy losses during the primary trimester.
Material and methods: This study was an analytical case – control study conducted at the research laboratory of the National university, Khartoum, Sudan during the period July to November, 2021 and aimed estimate activated partial thromboplastin time(APTT) and Prothrombin time (PT) level among Sudanese women with recurrent miscarriage. 50 patients attending obstetrics and gynecology unit at Ibrahim Malik teaching hospital and diagnosed with recurrent spontaneous abortion during the mentioned period were selected as cases group. In addition to that, 50 apparently healthy women with no history of abortion and without any other risk factor related to abortion were selected as control group. From each participant 5ml of venous blood samples were dispensed into sterile containers with tri-sodium citrate anticoagulant container for APTT and PT measurement. The tests were performed using semiautomatic device.
Results: In the present study revealed highly significant increase in PT and APTT in case when compared to control. Also PT, APTT, and INR in cases compared with the age group the result revealed that; there was an insignificant difference (P.value ≤ 0.05). In addition, also there were insignificant differences of these parameters when compared with the number of miscarriage and the history of any disease.
Conclusion: In conclusion, Prothrombin time and activated partial thromboplastin time can be use as predictive parameter for further miscarriages in cases of recurrent miscarriage. There is no explanatory cause in women with prolonged PT and APTT.
Keywords: recurrent miscarriage, pregnancy, thromboplastin , PT and APTT
Keywords:
recurrent miscarriage, pregnancy, thromboplastin, PT, APTTDOI
https://doi.org/10.22270/jddt.v11i6-S.5257References
DavorJurkovic, Caroline Overton, Ruth Bender-Atik, Diagnosis and management of first rimester miscarriage. BMJ. 2013; 346:34-34. https://doi.org/10.1136/bmj.f3676
Marc Dhont. Recurrent Miscarriage. Current Women's Health Reports 2003; 3:361-366.
Palta S, Saroa R, AnshuPalta. Overview of the coagulation system. Indian J Anaesth. 2014; 58(5):515-523. https://doi.org/10.4103/0019-5049.144643
Munker R, Hiller E, Glass J, Paquette R. MODERN HEMATOLOGY Biology and Clinical Management. Second edition. Humana Press Inc. Totowa. 2007. https://doi.org/10.1007/978-1-59745-149-9
Homer HA. Modern management of recurrent miscarriage. Aust N Z J Obstet Gynaecol. 2019; 59(1):36-44. https://doi.org/10.1111/ajo.12920
Karaca N, Aktün LH. Evaluation of Factor XII Activity in Women with Recurrent Miscarriages.Bezmialem Science. 2018; 6(4):279-82 https://doi.org/10.14235/bs.2018.2052
Ali A, Mohan P, Kareem H, Muhammed MK. Elevated Factor VIII Levels and Shortened APTT in Recurrent Abortions. Journal of Clinical and Diagnostic Research. 2016; 10(1): EC04-EC06. https://doi.org/10.7860/JCDR/2016/17841.7080
Ogasawara M, Aoki K, Katano K, Aoyama T, Ozaki Y, Suzumori K. Activated partial thromboplastin time is a predictive parameter for further miscarriages in cases of recurrent fetal loss. Fertility and Sterility.1998; 70(6):1081- 1084 https://doi.org/10.1016/S0015-0282(98)00336-7
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