Longitudinal study on activated factors XII and VII levels during normal pregnancy.

Levels of activated factor XII (FXIIa) and VII (FVIIa) were determined in 100 women with uneventful pregnancies. Samples were divided into five study intervals: three during pregnancy, one at delivery and one 3 d postpartum. The median (range) for FXIIa levels were 3.4 ng/ml (1.2-9.1) from 11 to 20 weeks, 4.6 ng/ml (1.4-15.2) from 21 to 30 weeks, 5.4 ng/ml (1.9-14.3) from 31st week to delivery, 5.2 (1.3-11.4) at delivery and 4.3 (1.8-8.5) ng/ml in the postpartum sample. For FVIIa the median and range levels for the five periods were 4.9 (1.7-77.3), 7.2 (2.5-80.4), 11.1 (2.9-90.6), 12.0 (3.1-64.1) and 8.2 (4.0-23.5) ng/ml. Although the increase of FVIIa was higher than that of FXIIa during pregnancy, the overall changes of FXIIa and FVIIa were highly correlated (P<0.0001). At each time period the changes of FVIIa correlated with FVII:C which was not the case with FVII:Ag. These data indicate that during pregnancy both the contact phase and extrinsic pathway are activated.