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Taken together, the integration of both fibrin clot properties and thrombin generation markers in pregnant women using modern science techniques may reveal new mechanisms explaining the relationship between altered fibrin clot properties and certain pregnancy complications. Moreover, it may help to identify new clot phenotypes of potential clinical significance, indicating prothrombotic risk or elevated chance of development of hypertensive disorders during pregnancy.
Specific working hypotheses:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy pregnant women | Determination of fibrin clot properties and thrombin generation |
| |
| Pregnant women with hypertensive disorders during pregnancy | Determination of fibrin clot properties and thrombin generation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| analysis of fibrin clot properties and thrombin generation | Diagnostic Test | determination of fibrin clot properties and thrombin generation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fibrin clot phenotype | Fibrin clot phenotype | 12 months |
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Inclusion Criteria:
I. age 18-40 years; II. natural conception (without assisted reproductive techniques).
Exclusion Criteria:
I. use of hormonal therapy (i.e., oral contraceptives, progestogens) within 3 months before or during pregnancy; II. use of anticoagulants oral/subcutaneous within 3 months before or during pregnancy; III. increased risk factors of VTE (i.e., obesity - body mass index >30 kg/m2; smoking) or history of VTE; IV. Concomitant diseases, i.e: severe hypertension, diabetes mellitus, autoimmune diseases (i.e., systemic lupus erythematosus, antiphospholipid syndrome); V. congenital or acquired thrombophilia (i.e., mutation factor V Leiden, prothrombin mutation).
Females as they can get pregnant
Two groups:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gynecological Endocrinology Department | Recruiting | Krakow | Małopolska | 31-501 | Poland |
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Venous blood samples will be drawn from an antecubital vein with minimal stasis using atraumatic venipuncture at 8 to 10 AM and collected into serum tubes and into tubes with anticoagulants: EDTAand sodium citrate (2.6 ml and 3.2%, respectively, 9:1) (Monovette, all from Sarstedt, Nümbrecht, Germany).