Table 1.
Hematologic Changes During Normal Pregnancy
| Blood Clotting Factor | Pregnancy-Associated Changes |
|---|---|
| Protein C | No change |
| Protein S | Decreased by ≈50% compared to prepregnancy values |
| Antithrombin III | Decreased by ≈20% compared to prepregnancy values |
| Plasminogen activator 1 | Increased |
| Plasminogen activator 2 | Increased |
| Prothrombin time | No change |
| Activated partial thromboplastin time | No change |
| Platelets | Decreased by ≈20% compared to prepregnancy values |
| Von Willebrand factor | Increased by >100% compared to prepregnancy values |
| Fibrinogen | Increased by >100% compared to prepregnancy values |
| Prothrombin | Increased |
| Tissue thromboplastin | Increased |
| Factor IV | No change |
| Factor V | No change |
| Factor VII | Increased by >1000% compared to prepregnancy values |
| Factor VIII | Increased by >100% compared to prepregnancy values |
| Factor IX | Increased by >100% compared to prepregnancy values |
| Factor X | Increased by >100% compared to prepregnancy values |
| Factor XI | Values vary during pregnancy (can increase or decrease) |
| Factor XII | Increased by >100% compared to prepregnancy values |
| Factor XIII | Decreased by ≈50% compared to prepregnancy values |