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Bleeding Disorders and ART

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Textbook of Assisted Reproduction

Abstract

Hemostasis is a normal physiologic function that is integral to tissue perfusion as well as the appropriate functioning of organs. As such, in the event of inevitable occurrences of vessel injury, they must be resolved quickly. The process is accomplished by a sophisticated balance of clot formation and clot lysis, consisting of an interplay between platelets and the coagulation cascade when functioning correctly [1]. When vessel injury first occurs, it cues von Willebrand factor to bind to subendothelial collagen on one end with platelet receptors at the other end. Following this, platelet adhesion results in the release of numerous mediating factors, all of which contribute to vasoconstriction and platelet activation. Platelet activation is just one component of hemostasis. In the event of a substantial vascular insult, the coagulation cascade must also be involved to form a sufficient fibrin plug, achieving satisfactory hemostasis [1, 2].

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References

  1. Howard MR, Hamilton PJ, Britton R. Haematology: an illustrated colour text. Fourth ed. Edinburgh: Elsevier. Accessed via Clinical Key; 2013.

    Google Scholar 

  2. Pettker CM, Lockwood CJ. Chap. 45, Thromboembolic disorders in pregnancy. In: Obstetrics: normal and problem pregnancies. 7th ed. Philadelphia, PA: Elsevier; 2017. p. 965–80.

    Google Scholar 

  3. Fritz MA, Speroff L. Recurrent early pregnancy loss. In: Clinical gynecologic endocrinology and infertility. 8th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  4. Cromwell C, Paidas M. Chap. 151: Hematologic changes in pregnancy. In: Hematology: basic principles and practice, Thrombophilia and pregnancy. 7th ed. Philadelphia, PA: Elsevier; 2018. p. 2203–2214.e5.

    Chapter  Google Scholar 

  5. McCrae KR. Thrombocytopenia in pregnancy: differential diagnosis, pathogenesis, and management. Blood Rev. 2003;17:7.

    Article  Google Scholar 

  6. International RBDD Registry, the Indiana Hemophilia & Thrombosis Center, and the Rare Coagulation Disorders Subcommittee of the National Hemophilia Foundation. 2014. Rare Coagulation Disorders Resource Room. Retrieved from http://www.rarecoagulationdisorders.org/.

  7. Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF. Coagulation disorders in pregnancy. In: Creasy & Resnik’s maternal-fetal medicine principles and practice. Seventh ed. Philadelphia, PA: Elsevier Saunders; 2014.

    Google Scholar 

  8. Greinacher A. Heparin-induced thrombocytopenia. J Thromb Haemost. 2009;1:9–12. https://doi.org/10.1111/j.1538-7836.2009.03385.x.

    Article  CAS  Google Scholar 

  9. Linkins LA, Dans AL, Moores LK, et al. Treatment and prevention of heparin-induced thrombocytopenia: antithrombotic therapy and prevention of thrombosis, ninth ed.: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2):e495S–530S. https://doi.org/10.1378/chest.11-2303.141:e495S.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Schulman S. Bleeding disorders, World Federation of Hemophilia. 2010. Accessed via https://www.wfh.org/en/page.aspx?pid=639

  11. Baz R, Mekhail T. Disorders of platelet function and number. Lyndhurst, OH: The Cleveland Clinic Foundation; 2009.. Retrieved from http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hematology-oncology/disorders-platelet-function/

    Google Scholar 

  12. Hedges SJ, Dehoney SB, Hooper JS, et al. Evidence-based treatment recommendations for uremic bleeding. Nat Clin Pract Nephrol. 2007;3(3):138–53.

    Article  CAS  Google Scholar 

  13. Chi C, Kadir RA. Inherited bleeding disorders in pregnancy. Best Pract Res Clin Obstet Gynecol. 2012;26(1):103–17.

    Article  Google Scholar 

  14. Bolton-Maggs PH, Perry DJ, Chalmers EA, et al. The rare coagulation disorders–review with guidelines for management from the United Kingdom haemophilia centre doctors’ organisation. Haemophilia. 2004;10(5):593–628. https://doi.org/10.1111/j.1365-2516.2004.00944.x.

    Article  CAS  PubMed  Google Scholar 

  15. Huq FY, Kadir RA. Management of pregnancy, labor and delivery in women with inherited bleeding disorders. Haemophilia. 2011;17:20–30. https://doi.org/10.1111/j.1365-2516.2011.02561.x.

    Article  PubMed  Google Scholar 

  16. Burrows RF, Ray JG, Burrows EA. Bleeding risk and reproductive capacity among patients with factor XIII deficiency: a case presentation and review of the literature. Obstet Gynecol Surv. 2000;55(2):103–8.

    Article  CAS  Google Scholar 

  17. den Heijer M, Koster T, Blom HJ, et al. Hyperhomocysteinemia as a risk factor for deep-vein thrombosis. N Engl J Med. 1996;334:759–62.

    Article  Google Scholar 

  18. den Heijer M, Rosendaal FR, Blom HJ, Gerrits WB, Bos GM. Hyperhomocysteinemia and venous thrombosis: a meta-analysis. Thromb Haemost. 1998;80:874–7.

    Article  Google Scholar 

  19. Eichinger S. Homocysteine, vitamin B6 and the risk of recurrent venous thromboembolism. Pathophysiol Haemost Thromb. 2003;33:342–4.

    Article  Google Scholar 

  20. den Heijer M, Lewington S, Clarke R. Homocysteine, MTHFR and risk of venous thrombosis: a meta-analysis of published epidemiological studies. J Thromb Haemost. 2005;3:292–9.

    Article  Google Scholar 

  21. The American College of Obstetricians and Gynecologists. Practice bulletin #123: Thromboembolism in pregnancy. In ACOG. 2011. Retrieved from https://www.acog.org/Clinical-Guidance-and-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Obstetrics/Thromboembolism-in-Pregnancy

  22. Goodman C, Hur J, Goodman CS, Jeyendran RS, Coulam C. Are polymorphisms in the ACE and PAI-1 genes associated with recurrent spontaneous miscarriages? Am J Reprod Immunol. 2009;62(6):365–70. https://doi.org/10.1111/j.1600-0897.2009.00744.x.

    Article  CAS  PubMed  Google Scholar 

  23. De Ronde H, Bertina RM. Laboratory diagnosis of APC-resistance: a critical evaluation of the test and the development of diagnostic criteria. Thromb Haemost. 1994;72:880–6.

    Article  Google Scholar 

  24. Freyburger G, Javorschi S, Labrouche S, Bernard P. Proposal for objective evaluation of the performance of various functional APC-resistance tests in genotyped patients. Thromb Haemost. 1997;78:1360–5.

    Article  CAS  Google Scholar 

  25. Koster T, Rosendaal FR, De Ronde H, Briet E, Vandenbroucke JP, Bertina RM. Venous thrombosis due to poor anticoagulant response to activated protein C: Leiden Thrombophilia Study. Lancet. 1993;342:1503–6.

    Article  CAS  Google Scholar 

  26. Kraaijenhagen RA, In’T Anker PS, Koopman MMW, Reitsma PH, Prins MHH, Van Den Ende A, Buller HR. High plasma concentration of factor VIIIc is a major risk factor for venous thromboembolism. Thromb Haemost. 2000;83:5–9.

    Article  CAS  Google Scholar 

  27. Ivanov P, Tsvyatkovska T, Konova E, Komsa-Penkova R. Inherited thrombophilia and IVF failure: the impact of coagulation disorders on implantation process. Am J Reprod Immunol. 2012;68(3):189–98. https://doi.org/10.1111/j.1600-0897.2012.01156.x.

    Article  CAS  PubMed  Google Scholar 

  28. Ata B, Urman B. Thrombophilia and assisted reproduction technology-any detrimental impact or unnecessary overuse? J Assist Reprod Genet. 2016;33(10):1305–10.

    Article  Google Scholar 

  29. Tan X, Yu Z, Sao J, Chen L, Shen Y, Ding J, Shi W. Association between in vitro fertilization outcomes and inherited thrombophilias: a meta-analysis. J Assist Reprod Genet. 2016;33(8):1093–8. https://doi.org/10.1007/s10815-016-0726-0.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Bellver J, Soares SR, Álvarez C, Muñoz E, Ramírez A, Rubio C, et al. The role of thrombophilia and thyroid autoimmunity in unexplained infertility, implantation failure and recurrent spontaneous abortion. Hum Reprod. 2008;23:278–84.

    Article  Google Scholar 

  31. Vaquero E, Lazzarin N, Caserta D, Valensise H, Baldi M, Moscarini M, et al. Diagnostic evaluation of women experiencing repeated in vitro fertilization failure. Eur J Obstet Gynecol Reprod Biol. 2006;125:79–84.

    Article  Google Scholar 

  32. Di Nisio M, Rutjes AW, Ferrante N, Tiboni GM, Cuccurullo F, Porreca E. Thrombophilia and outcomes of assisted reproduction technologies: a systematic review and meta-analysis. Blood. 2011;118(10):2670–8. https://doi.org/10.1182/blood-2011-03-340216.

    Article  CAS  PubMed  Google Scholar 

  33. Göpel W, Ludwig M, Junge AK, Kohlmann T, Diedrich K, Möller J. Selection pressure for the factor-V-Leiden mutation and embryo implantation. Lancet. 2001;358:1238–9.

    Article  Google Scholar 

  34. Ivanov P, Tomov SI, Tsvyatkovska T, Konova E, Komsa-Penkova R. Thrombophilia in assisted reproductive technology — Place and needs of thromboprophylaxis. In: Ivanov P, editor. Pregnancy thrombophilia - the unsuspected risk. Croatia: InTech; 2013. https://doi.org/10.5772/56793.. Available from: https://www.intechopen.com/books/pregnancy-thrombophilia-the-unsuspected-risk/thrombophilia-in-assisted-reproductive-technology-place-and-needs-of-thromboprophylaxis.

    Chapter  Google Scholar 

  35. Asahina T, Kobayashi T, Takeuchi K, Kanayama N. Congenital blood coagulation factor XIII deficiency and successful deliveries: a review of the literature. Obstet Gynecol Surv. 2007;62(4):255–60.

    Article  Google Scholar 

  36. Inbal A, Muszbek L. Coagulation factor deficiencies and pregnancy loss. Semin Thromb Hemost. 2003;29(2):171–4. https://doi.org/10.1055/s-2003-38,832.

    Article  CAS  PubMed  Google Scholar 

  37. Asahina T, Kobayashi T, Okada Y, et al. Studies on the role of adhesive proteins in maintaining pregnancy. Horm Res. 1998;50(2):37.

    CAS  PubMed  Google Scholar 

  38. Grech H, Majumdar G, Lawrie AS, Savidge GF. Pregnancy in congenital afibrinogenaemia: report of a successful case and review of the literature. Br J Haematol. 1991;78(4):571–2. https://doi.org/10.1111/j.1365-2141.1991.tb04491.x.

    Article  CAS  PubMed  Google Scholar 

  39. de Moerloose P, Casini A, Neerman-Arbez M. Congenital fibrinogen disorders: an update. Semin Thromb Hemost. 2013;39(6):585–95. https://doi.org/10.1055/s-0033-1,349,222.

    Article  PubMed  Google Scholar 

  40. Qublan HS, Eid SS, Ababneh HA, Amarin ZO, Smadi AZ, Al-Khafaji FF, Khader YS. Acquired and inherited thrombophilia: implication in recurrent IVF and embryo transfer failure. Hum Reprod. 2006;21(10):2694–8.

    Article  CAS  Google Scholar 

  41. Fatemi HM, Popovic-Todorovic B. Implantation in assisted reproduction: a look at endometrial receptivity. Reprod BioMed Online. 2013;27(5):530–8.

    Article  CAS  Google Scholar 

  42. Steinvil A, Raz R, Berliner S, Steinberg DM, Zeltser D, Levran D, et al. Association of common thrombophilias and antiphospholipid antibodies with success rate of in vitro fertilisation. Thromb Haemost. 2012;108(6):1192–7. https://doi.org/10.1160/TH12-06-0381.

    Article  PubMed  Google Scholar 

  43. Mark PE. Venous thromboembolism in pregnancy. Clin Chest Med. 2010;31(4):731–40.

    Article  Google Scholar 

  44. Practice Committee of the American Society for Reproductive Medicine. Evaluation and treatment of recurrent pregnancy loss: a committee opinion. Fertil Steril. 2012;98(5):1103–11.

    Article  Google Scholar 

  45. Mor YS, Schenker JG. Ovarian hyperstimulation syndrome and thrombotic events. Am J Reprod Immunol. 2014;72(6):541–8. https://doi.org/10.1111/aji.12310.

    Article  PubMed  Google Scholar 

  46. Anderson JA, Hogg KE, Weitz JI. Chap. 140, Hypercoagulable states. In: Hematology: basic principles and practice. Seventh ed. Philadelphia, PA: Elsevier; 2018. p. 2076–87.. Retrieved from https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323357623001402?scrollTo=%23hl0000517.

    Chapter  Google Scholar 

  47. Bates SM, Greer IA, Middeldorp S, Veenstra DL, Prabulos AM, Vandvik PO. American College of Chest Physicians. VTE, thrombophilia, antithrombotic therapy, and pregnancy: antithrombotic therapy and prevention of thrombosis, ninth ed.: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2):e691S–736S.

    Article  CAS  Google Scholar 

  48. Yoni C, Tulandi T, Almog B, Zohav E, Deutsch V, Many A, Amit A, Cohen A. Prolonged activation of the coagulation system during in vitro fertilization cycles. Eur J Obstet Gynecol Reprod Biol. 2017;216:111–5.

    Article  Google Scholar 

  49. Lipe BC, Dumas MA, Ornstein DL. Von Willebrand disease in pregnancy. Hematology/Oncology Clin N Am. 2011;25(2):335–58.

    Article  Google Scholar 

  50. Kaandorp SP, Goddijn M, van der Post JA, et al. Aspirin plus heparin or aspirin alone in women with recurrent miscarriage. N Engl J Med. 2010;362:1586.

    Article  CAS  Google Scholar 

  51. Grandone E, Villani M, Tiscia GL, Dentali F, Colaizzo D, Cappucci F, Chinni E, Ageno W, Margaglione M. Clinical pregnancies and live births in women approaching ART: A follow-up analysis of 157 women after thrombophilia screening. Thromb Res. 2014;133(2):168–72.

    Article  CAS  Google Scholar 

  52. Ricci G, Bogatti P, Fischer-Tamaro L, Giolo E, Luppi S, Montico M, et al. Factor V Leiden and prothrombin gene G20210A mutation and in vitro fertilization: prospective cohort study. Hum Reprod. 2011;26:3068–77.

    Article  CAS  Google Scholar 

  53. Dentali F, Ageno W, Rezoagli E, Rancan E, Squizzato A, Middeldorp S, et al. Low-dose aspirin for in vitro fertilization or intracytoplasmic sperm injection: a systematic review and a meta-analysis of the literature. J Thromb Haemost. 2012;10:2075–85.

    Article  CAS  Google Scholar 

  54. Nelson SM, Greer IA. The potential role of heparin in assisted conception. Hum Reprod Update. 2008;14:623–45.

    Article  CAS  Google Scholar 

  55. The American College of Obstetricians and Gynecologists. Practice Bulletin #138: Inherited thrombophilias in pregnancy. In ACOG. 2013. Retrieved from https://www.acog.org/Clinical-Guidance-and-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Obstetrics/Inherited-Thrombophilias-in-Pregnancy

  56. Grandone E, Colaizzo D, Lo Bue A, Cappucci F, Cittadini E, Margaglione M. Clinical relevance of inherited thrombophilia in implantation failure: who needs to be screened? Haematologica. 2003;88(12):35.

    Google Scholar 

  57. Simur A, Ozdemir S, Acar H, Colakoğlu MC, Görkemli H, Balci O, Nergis S. Repeated in vitro fertilization failure and its relation with thrombophilia. Gynecol Obstet Investig. 2009;67(2):109–12. https://doi.org/10.1159/000165776.

    Article  Google Scholar 

  58. Velazquez EM, Mendoza SG, Wang P, Glueck CJ. Metformin therapy is associated with decreased plasminogen activator inhibitor-1, lipoprotein (a), and immunoreactive insulin levels in patients with polycystic ovary syndrome. Metabolism. 1997;46:454–7.

    Article  CAS  Google Scholar 

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Levin, V., Booth, R., Minassian, S. (2020). Bleeding Disorders and ART. In: Allahbadia, G.N., Ata, B., Lindheim, S.R., Woodward, B.J., Bhagavath, B. (eds) Textbook of Assisted Reproduction. Springer, Singapore. https://doi.org/10.1007/978-981-15-2377-9_35

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