Haemostatic mechanism in the uterine circulation during placental separation.
The haemostatic mechanism in the uterus during parturition was investigated in 12 patients being delivered by caesarean section. Detailed sequential study of the blood coagulation and fibrinolytic systems in the uterine circulation showed that placental separation is accompanied by a striking local activation of the clotting mechanism. Uterine vein blood draining the placental site while the placenta was separating showed a pronounced shortening of the whole-blood clotting-time, a significant shortening of other clotting-tests, and a sharp increase in factor VIII activity, though these changes
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