Hemostasis in the Neonate

Author:

Manco-Johnson Marilyn J.1

Affiliation:

1. Professor of Pediatrics, University of Colorado, Denver, and the Children's Hospital, Denver, Colo

Abstract

The coagulation system is finely tuned to arrest bleeding at the site of vascular injury and quickly remove clots that obstruct blood flow. In the fetus, components of the coagulation system show unique developmentally regulated patterns and times for maturation to normal adult protein quantities and functions. In addition, several coagulation proteins contribute to cellular proliferation and differentiation uniquely during fetal life. In spite of this, results of most screening tests of hemostasis vary modestly from adult normal values in the healthy term infant, and both hemorrhage and thrombosis are rare in the well infant.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference10 articles.

1. Andrew M, Paes B, Johnston M. Development of the haemostatic system in the neonate and young infant. Am J Pediatr Hematol Oncol. 1990;12:95–104

2. Andrew M, Paes B, Johnston M, et al. Development of the human coagulation system in the healthy premature infant. Blood. 1988;72:1651–1657

3. Goldenberg NA, Hathaway WE, Jacobson L, Manco-Johnson MJ. A new global assay of coagulation and fibrinolysis. Thromb Res. 2005;116:345–356

4. Hathaway WE, Bonnar J. Physiology of coagulation in the fetus and newborn infant. In: Hemostatic Disorders of the Pregnant Woman and Newborn Infant. New York, NY: Elsevier Science Publishing Company; 1987:57–75

5. Manco-Johnson MJ. Development of hemostasis in the fetus. Pediatr Res. 2005;115 (suppl1):55–63

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