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Analysis of D-dimer in pregnancy
Last reviewed: 11.04.2020
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Analysis of D-dimer in pregnancy is recommended not to be ignored.
D-dimer refers to the products of lysis of fibrin, which is part of the thrombus. The analysis allows you to find out whether there is a risk of accelerated formation of thrombi in a future mother or not. Before taking blood, it is advisable not to drink liquid and food for at least 12 hours.
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Normal performance
Normal values of D-dimer for pregnant women
- The 1st trimester is 750 ng / ml.
- The 2nd trimester is 1000 ng / ml.
- 3rd trimester - no more than 1500 ng / ml.
Raising and lowering of values
Increase in D-dimer in pregnancy
An increase in the level indicates an increased risk of blood clots, and a number of diseases can precede this:
- Presence of diabetes mellitus.
- The presence of diseases of the urinary system.
- Confirmation of preeclampsia.
- Confirmation of infectious diseases.
- Presence of liver diseases.
- Early detachment of the placenta and threat of miscarriage.
D-dimer is below the norm during pregnancy
If the D-dimer is significantly lower than the norm for pregnant women, this already indicates a decrease in blood coagulability of the risk of bleeding incompatible with life. In such cases, hospitalization, consultation of the hematologist, and a course of coagulants are required. It is especially important to carry out the analysis for D-dimer immediately before childbirth, when the fact of blood loss is irrefutable and in case of complications it will be necessary to quickly help.