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Perinatal Factors Affecting Coagulation Parameters at Birth in Preterm and Term Neonates: A Retrospective Cohort Study.
American Journal of Perinatology 2019 December
To date, few studies have investigated whether perinatal factors affect coagulation parameters at birth in preterm and term neonates. We retrospectively investigated coagulation factors on day 1 in 609 consecutive neonates admitted to our neonatal intensive care unit between January 2010 and December 2017. We measured coagulation factors on day 1 using peripheral blood samples. Multivariate analysis revealed that prothrombin time-international normalized ratio correlated with intraventricular hemorrhage ( p = 0.000; β = 0.180) and placental abruption (PA; p = 0.000; β = 0.142). Activated partial thromboplastin time (aPTT) correlated with birth weight (BW; p = 0.000; β = - 0.217), gestational age (GA; p = 0.000; β = - 0.282), and PA ( p = 0.000; β = 0.181). Fibrinogen concentration was associated with respiratory distress syndrome ( p = 0.007; β = - 0.114), pregnancy-induced hypertension ( p = 0.000; β = - 0.141), and Apgar score at 1 minute ( p = 0.043; β = 0.147). Furthermore, the level of d-dimer inversely correlated with Apgar score at 5 minutes ( p = 0.049). Finally, antithrombin III levels positively correlated with GA ( p = 0.000) and BW ( p = 0.000). Thus, maternal and neonatal complications affect coagulation parameters in preterm and term neonates.
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