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Laboratory tests and pregnancy


Authors: prof. MUDr. L. Turecký, CSc.
Authors‘ workplace: Ústav lekárskej chémie, biochémie a klinickej biochémie LF UK, Bratislava
Published in: Prakt Gyn 2006; 10(2): 78-81

Prakt Gynek 2005; 12: 4

Overview

During pregnancy, a woman undergoes dramatic metabolic and hormonal changes. The large amounts of estrogens, progesterone, hPL and corticosteroids produced during pregnancy affect various metabolic, physiological and endocrine systems. An increase in resistance to angiotensine, predominance of lipid metabolism over glucose utilization, and increased synthesis by the liver of thyroid- and steroid-binding proteins, fibrinogen and other proteins such as ceruloplasmin and alpha1-antitrypsin are characteristic of pregnancy. As a result of such changes, many of laboratory reference intervals for nonpregnant patients are not appropriate for pregnant patients. In addition, the reference intervals of many laboratory tests are dependent on the duration of the pregnancy. The article summarizes changes in reference intervals of common laboratory tests during pregnancy. It presents information on the changes of laboratory tests according to trimesters of pregnancy (tab. 1) [1].

Key words:
laboratory tests – reference intervals – pregnancy – pregnancy and laboratory tests


Sources

1. Schlebusch H. Schwangerschaft. In: Thomas L. (ed.): Labor und Diagnose. TH-Books Verlagsgesellschaft mbH: Frankfurt/Main 2000: 1583.

2. Greiling H, Gressner AM (eds). Lehrbuch der klinischen chemie und pathobiochemie. Stuttgart: Schattauer 1987: 1197.

3. Goodlin RC, Dobry CA, Anderson JC, Woods RE, Quaife M. Clinical signs of normal plasma volume expansion during pregnancy. Amer J Obstet Gynecol 1983; 145: 1001-1009.

4. Knopp RH, Bergelin RO, Wahl PW, Walden CE, Chapman MB. Clinical chemistry alterations in pregnancy and oral contraceptive users. Obstet Gynecol 1985; 66: 682-690.

5. Pedersen EB, Johannsen P, Rasmussen AB, Danielsen H. The osmoregulatory system and the renin-angiotensin-aldosteron system in preeclampsia and normotensive pregnancy. Scand Clin lab Invest 1985; 45: 627-633.

6. Ashwood ER. Clinical chemistry of pregnancy. In: Burtis CA, Ashwood ER (eds.): Fundamentals of clinical chemistry. Philadelphia: W.B. Saunders Comp 1996: 881.

7. Hallberg L. Iron balance in pregnancy. In: Berger H. (ed.): Vitamins and minerals in pregnancy and lactation. New York: Raven Press 1988: 115-125.

8. Lind T. Clinical chemistry of pregnancy. Adv Clin Chem 1980; 21: 1-35.

9. Racek J. Laboratorní vyšetření v těhotenství. In: Racek J. (ed). Klinická biochemie. Praha: Galén 1999: 317.

10. Weiss PAM, Couston DR (eds). Gestational diabetes. Wien, Springer Verlag 1988.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Topics Journals
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