Deviations from the norm of "D-dimer" during pregnancy

One of the most pleasant events in a woman's life is pregnancy. She looks forward to the birth of the baby and tries to do everything possible to make him appear healthy. One important indicator is the blood of his mother. In order that the veins are not clogged, doctors conduct a large number of tests. One of the most common is the "D-dimer". The norm during pregnancy is always increasing. These are fibers of fibrin, with the help of which it becomes possible to determine whether there is a risk of blood clots. During the carrying of the baby many changes occur in the system of hemostasis. Physiological activation is particularly noticeable at this time.

The value of analysis for a woman

The norms of "D-dimers" in this period are not exactly known. With confidence, they are growing all the time. Very high results can provoke quite dangerous complications. In this case, a special treatment is prescribed, during which the patient must be under strict medical supervision. In women who have abnormal pregnancy, excess of the norm of "D-dimer" happens very often. This can lead to miscarriage. As a rule, such patients are treated with medicines. They are put in the hospital and prescribed appropriate treatment. Usually it lasts about a week. A pregnant woman should take a large number of tests in order to timely stop a possible threat to the health of the baby. She has to donate blood for analysis more than ten times. Especially important is the coagulogram. This is a type of laboratory diagnosis that can detect the risk of blood clots and bleeding. A "D-dimer" is its main indicator. That's why its meaning is so important.

Understand the concepts

When the wall of the blood vessel is damaged, a signal is generated that notifies that bleeding is possible. The fibrinogen present in the blood begins to change to fibrin. This form is insoluble. It begins to settle on the damaged area and forms a grid. It contains erythrocytes and platelets, which form a clot. So there is a thrombus that stops bleeding. Damage begins to overgrow, and the thrombus breaks up into separate fragments. So there is the "D-dimer". The norm in women is usually not more than 500ng / ml. Doctors measure its amount to exclude pathological processes in the human body. If it is higher than the established index, then a state begins which accompanies thrombosis.

Diagnosis of pregnant women

In the period of gestation, estrogens affect the circulatory system of the expectant mother. This can be clearly traced during various surveys. So, fibrinogen, prothrombin and "D-dimer" are increasing . The norm with IVF is the same as in normal fertilization. At this time, the period of blood clotting is significantly increased. Therefore, women need to be extremely careful.

Norm of indications

The first trimester of pregnancy is different in that this indicator is slightly increased. Doctors believe that at this time it should not be more than 750ng / ml. Usually in a woman he is somewhere in 1,5 times less. Characterized by an increase in the "D-dimer" of the 2nd trimester. Its norm is still growing, but not more than 2 times. 3 trimester is different in that this figure is increased 3 times from the original. Such changes are considered normal and do not require constant monitoring and correction.

Increase

Although the increase in the values of this indicator is considered normal, a strong jump may indicate some serious problems. This suggests that the work of the clotting system is disrupted. Usually this happens in diabetic patients. It is also often evidence of kidney problems, infectious diseases and some other ailments. Norms of "D-dimer" may increase if there is a threat of placental abruption before the term. After detection of this problem, appropriate treatment should be immediately given. It is also necessary to carefully monitor the coagulogram and consult a hematologist. A pregnant woman should take this very seriously, since the situation may even lead to the loss of the baby. That's why she needs constant monitoring of the doctor. It is better to identify the patient in a hospital in order to be able to adjust the "D-dimer" with the help of anticoagulants. For this purpose, injections of "Fraksiparin" are administered, which are injected into the thigh or abdomen subcutaneously for 7 days. Also prescribe the drug "Reopoliglykin." It is administered by intravenous drippers. Solutions "Curantil" and "Actovegin" also contribute to improving blood flow.

Reduced result

It is important to note that the indicator below the norm of "D-dimers" is a very complex and rare phenomenon during pregnancy. However, it is very difficult to speak about the norms, since all the indicators are considered relative. This phenomenon is not considered as dangerous as the opposite. However, it is worth noting that there are violations in the coagulation system. The future mum nevertheless should address to the hematologist to pass or take place inspection and to establish or install necessity of treatment. If the index is markedly reduced, then the clotting processes are obviously violated. A pregnant woman has a risk of significant loss of blood, which can even lead to death.

Thus, it is worth noting that the level of the value of "D-dimer" is very important for every person, and for a pregnant woman - in particular. Any changes in it can indicate any serious violations that can lead to various diseases. It is absolutely obvious that the expectant mother should take special care of her own health during this period. It is necessary for her to take appropriate tests on time, in order to react in a timely manner to the slightest violations. Such an attitude will make it possible to correct the level of this indicator and avoid the manifestation of serious problems.