Department of Obstetrics and Gynecology, Azienda Ospedaliera Universitaria Integrata, Università degli Studi di Verona , Verona , Italy.
Department of Obstetrics and Gynecology, Soroka University Medical Center, School of Medicine, Ben Gurion University of the Negev , Beer Sheva , Israel.
PeerJ. 2015 Jan 6;3:e691. doi: 10.7717/peerj.691. eCollection 2015.
Implantation, trophoblast development and placentation are crucial processes in the establishment and development of normal pregnancy. Abnormalities of these processes can lead to pregnancy complications known as the great obstetrical syndromes: preeclampsia, intrauterine growth restriction, fetal demise, premature prelabor rupture of membranes, preterm labor, and recurrent pregnancy loss. There is mounting evidence regarding the physiological and therapeutic role of heparins in the establishment of normal gestation and as a modality for treatment and prevention of pregnancy complications. In this review, we will summarize the properties and the physiological contributions of heparins to the success of implantation, placentation and normal pregnancy.
胚胎着床、滋养层发育和胎盘形成是正常妊娠建立和发展的关键过程。这些过程的异常可导致妊娠并发症,即所谓的产科大症候群:子痫前期、宫内生长受限、胎儿死亡、早产胎膜早破、早产和反复妊娠丢失。肝素在正常妊娠中的生理和治疗作用以及作为治疗和预防妊娠并发症的一种方法的证据越来越多。在这篇综述中,我们将总结肝素的特性及其对胚胎着床、胎盘形成和正常妊娠成功的生理贡献。