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Published in: World Journal of Pediatrics 1/2022

01-01-2022 | Review Article

Developmental hemostasis in the neonatal period

Authors: Vicente Rey y Formoso, Ricardo Barreto Mota, Henrique Soares

Published in: World Journal of Pediatrics | Issue 1/2022

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Abstract

Background

The hemostatic system is complex and evolves continuously since gestation and well into the adult years, in a process known as “developmental hemostasis.”

Data sources

A comprehensive review was performed after an extensive literature search on PubMed/MEDLINE concerning developmental hemostasis during the neonatal period. Relevant cross references were also included.

Results

Although part of a system, each component of the hemostatic system evolves differently, with many displaying both quantitative and qualitative age-related differences. This leads to drastic disparities between the coagulation system of neonates and both other children’s and adults’, while still maintaining a generally balanced and physiological hemostasis. The motives behind this process remain to be fully elucidated but may be, at least in part, related to non-hemostatic factors.

Conclusions

Knowledge regarding “developmental hemostasis” is essential for everyone caring for newborns or even children in general and in this review, we describe each hemostatic system component’s neonatal characteristics and age-related progression as well as explore some of the possible physiological motives behind the process.
Literature
1.
go back to reference Ignjatovic V, Mertyn E, Monagle P. The coagulation system in children: developmental and pathophysiological considerations. Semin Thromb Hemost. 2011;37:723–9.PubMedCrossRef Ignjatovic V, Mertyn E, Monagle P. The coagulation system in children: developmental and pathophysiological considerations. Semin Thromb Hemost. 2011;37:723–9.PubMedCrossRef
2.
go back to reference Campbell SE, Bolton-Maggs PH. Congenital and acquired bleeding disorders in infancy. Early Hum Dev. 2015;91:637–42.PubMedCrossRef Campbell SE, Bolton-Maggs PH. Congenital and acquired bleeding disorders in infancy. Early Hum Dev. 2015;91:637–42.PubMedCrossRef
4.
go back to reference Monagle P, Ignjatovic V, Savoia H. Hemostasis in neonates and children: pitfalls and dilemmas. Blood Rev. 2010;24:63–8.PubMedCrossRef Monagle P, Ignjatovic V, Savoia H. Hemostasis in neonates and children: pitfalls and dilemmas. Blood Rev. 2010;24:63–8.PubMedCrossRef
5.
go back to reference Guzzetta NA, Miller BE. Principles of hemostasis in children: models and maturation. Paediatr Anaesth. 2011;21:3–9.PubMedCrossRef Guzzetta NA, Miller BE. Principles of hemostasis in children: models and maturation. Paediatr Anaesth. 2011;21:3–9.PubMedCrossRef
6.
go back to reference Jaffray J, Young G. Developmental hemostasis: clinical implications from the fetus to the adolescent. Pediatr Clin N Am. 2013;60:1407–17.CrossRef Jaffray J, Young G. Developmental hemostasis: clinical implications from the fetus to the adolescent. Pediatr Clin N Am. 2013;60:1407–17.CrossRef
7.
go back to reference Kulkarni AA, Osmond M, Bapir M, Riddell A, Smith C, Lee CA, et al. The effect of labour on the coagulation system in the term neonate. Haemophilia. 2013;19:533–8.PubMedCrossRef Kulkarni AA, Osmond M, Bapir M, Riddell A, Smith C, Lee CA, et al. The effect of labour on the coagulation system in the term neonate. Haemophilia. 2013;19:533–8.PubMedCrossRef
8.
go back to reference Monagle P, Massicotte P. Developmental haemostasis: secondary haemostasis. Semin Fetal Neonatal Med. 2011;16:294–300.PubMedCrossRef Monagle P, Massicotte P. Developmental haemostasis: secondary haemostasis. Semin Fetal Neonatal Med. 2011;16:294–300.PubMedCrossRef
9.
go back to reference Strauss T, Sidlik-Muskatel R, Kenet G. Developmental hemostasis: primary hemostasis and evaluation of platelet function in neonates. Semin Fetal Neonatal Med. 2011;16:301–4.PubMedCrossRef Strauss T, Sidlik-Muskatel R, Kenet G. Developmental hemostasis: primary hemostasis and evaluation of platelet function in neonates. Semin Fetal Neonatal Med. 2011;16:301–4.PubMedCrossRef
10.
go back to reference Andrew M. The relevance of developmental hemostasis to hemorrhagic disorders of newborns. Semin Perinatol. 1997;21:70–85.PubMedCrossRef Andrew M. The relevance of developmental hemostasis to hemorrhagic disorders of newborns. Semin Perinatol. 1997;21:70–85.PubMedCrossRef
11.
go back to reference Neary E, McCallion N, Kevane B, Cotter M, Egan K, Regan I, et al. Coagulation indices in very preterm infants from cord blood and postnatal samples. J Thromb Haemost. 2015;13:2021–30.PubMedCrossRef Neary E, McCallion N, Kevane B, Cotter M, Egan K, Regan I, et al. Coagulation indices in very preterm infants from cord blood and postnatal samples. J Thromb Haemost. 2015;13:2021–30.PubMedCrossRef
12.
go back to reference Nowak-Göttl U, Limperger V, Bauer A, Kowalski D, Kenet G. Bleeding issues in neonates and infants-update 2015. Thromb Res. 2015;135(Suppl 1):S41–3.PubMedCrossRef Nowak-Göttl U, Limperger V, Bauer A, Kowalski D, Kenet G. Bleeding issues in neonates and infants-update 2015. Thromb Res. 2015;135(Suppl 1):S41–3.PubMedCrossRef
13.
go back to reference Bhat R, Monagle P. The preterm infant with thrombosis. Arch Dis Child Fetal Neonatal Ed. 2012;97:F423–8.PubMedCrossRef Bhat R, Monagle P. The preterm infant with thrombosis. Arch Dis Child Fetal Neonatal Ed. 2012;97:F423–8.PubMedCrossRef
14.
go back to reference Israels SJ, Rand ML, Michelson AD. Neonatal platelet function. Semin Thromb Hemost. 2003;29:363–72.PubMedCrossRef Israels SJ, Rand ML, Michelson AD. Neonatal platelet function. Semin Thromb Hemost. 2003;29:363–72.PubMedCrossRef
15.
go back to reference Lippi G, Franchini M, Montagnana M, Guidi GC. Coagulation testing in pediatric patients: the young are not just miniature adults. Semin Thromb Hemost. 2007;33:816–20.PubMedCrossRef Lippi G, Franchini M, Montagnana M, Guidi GC. Coagulation testing in pediatric patients: the young are not just miniature adults. Semin Thromb Hemost. 2007;33:816–20.PubMedCrossRef
16.
go back to reference Lippi G, Salvagno GL, Rugolotto S, Chiaffoni GP, Padovani EM, Franchini M, et al. Routine coagulation tests in newborn and young infants. J Thromb Thrombolysis. 2007;24:153–5.PubMedCrossRef Lippi G, Salvagno GL, Rugolotto S, Chiaffoni GP, Padovani EM, Franchini M, et al. Routine coagulation tests in newborn and young infants. J Thromb Thrombolysis. 2007;24:153–5.PubMedCrossRef
17.
go back to reference Monagle P, Barnes C, Ignjatovic V, Furmedge J, Newall F, Chan A, et al. Developmental haemostasis. Impact for clinical haemostasis laboratories. Thromb Haemost. 2006;95:362–72.PubMedCrossRef Monagle P, Barnes C, Ignjatovic V, Furmedge J, Newall F, Chan A, et al. Developmental haemostasis. Impact for clinical haemostasis laboratories. Thromb Haemost. 2006;95:362–72.PubMedCrossRef
18.
go back to reference Jaffray J, Young G, Ko RH. The bleeding newborn: a review of presentation, diagnosis, and management. Semin Fetal Neonatal Med. 2016;21:44–9.PubMedCrossRef Jaffray J, Young G, Ko RH. The bleeding newborn: a review of presentation, diagnosis, and management. Semin Fetal Neonatal Med. 2016;21:44–9.PubMedCrossRef
19.
go back to reference Andrew M, Paes B, Milner R, Johnston M, Mitchell L, Tollefsen DM, et al. Development of the human coagulation system in the full-term infant. Blood. 1987;70:165–72.PubMedCrossRef Andrew M, Paes B, Milner R, Johnston M, Mitchell L, Tollefsen DM, et al. Development of the human coagulation system in the full-term infant. Blood. 1987;70:165–72.PubMedCrossRef
20.
21.
go back to reference Goldenberg NA, Manco-Johnson MJ. Pediatric hemostasis and use of plasma components. Best Pract Res Clin Haematol. 2006;19:143–55.PubMedCrossRef Goldenberg NA, Manco-Johnson MJ. Pediatric hemostasis and use of plasma components. Best Pract Res Clin Haematol. 2006;19:143–55.PubMedCrossRef
22.
go back to reference Bernhard H, Rosenkranz A, Petritsch M, Köfeler H, Rehak T, Novak M, et al. Phospholipid content, expression and support of thrombin generation of neonatal platelets. Acta Paediatr. 2009;98:251–5.PubMedCrossRef Bernhard H, Rosenkranz A, Petritsch M, Köfeler H, Rehak T, Novak M, et al. Phospholipid content, expression and support of thrombin generation of neonatal platelets. Acta Paediatr. 2009;98:251–5.PubMedCrossRef
23.
24.
go back to reference Salonvaara M, Riikonen P, Kekomäki R, Vahtera E, Mahlamäki E, Halonen P, et al. Effects of gestational age and prenatal and perinatal events on the coagulation status in premature infants. Arch Dis Child Fetal Neonatal Ed. 2003;88:F319–23.PubMedPubMedCentralCrossRef Salonvaara M, Riikonen P, Kekomäki R, Vahtera E, Mahlamäki E, Halonen P, et al. Effects of gestational age and prenatal and perinatal events on the coagulation status in premature infants. Arch Dis Child Fetal Neonatal Ed. 2003;88:F319–23.PubMedPubMedCentralCrossRef
25.
go back to reference Bauman ME, Cheung PY, Massicotte MP. Hemostasis and platelet dysfunction in asphyxiated neonates. J Pediatr. 2011;158(2 Suppl):e35–9.PubMedCrossRef Bauman ME, Cheung PY, Massicotte MP. Hemostasis and platelet dysfunction in asphyxiated neonates. J Pediatr. 2011;158(2 Suppl):e35–9.PubMedCrossRef
26.
go back to reference Faraoni D, O’Leary JD. Understanding developmental hemostasis through the use of viscoelastic tests of whole blood coagulation. Minerva Anestesiol. 2017;83:347–9.PubMedCrossRef Faraoni D, O’Leary JD. Understanding developmental hemostasis through the use of viscoelastic tests of whole blood coagulation. Minerva Anestesiol. 2017;83:347–9.PubMedCrossRef
27.
go back to reference Konstantinidi A, Sokou R, Parastatidou S, Lampropoulou K, Katsaras G, Boutsikou T, et al. Clinical application of thromboelastography/thromboelastometry (TEG/TEM) in the neonatal population: a narrative review. Semin Thromb Hemost. 2019;45:449–57.PubMedCrossRef Konstantinidi A, Sokou R, Parastatidou S, Lampropoulou K, Katsaras G, Boutsikou T, et al. Clinical application of thromboelastography/thromboelastometry (TEG/TEM) in the neonatal population: a narrative review. Semin Thromb Hemost. 2019;45:449–57.PubMedCrossRef
28.
go back to reference Sokou R, Konstantinidi A, Stefanaki C, Tsantes AG, Parastatidou S, Lampropoulou K, et al. Thromboelastometry: studying hemostatic profile in small for gestational age neonates-a pilot observational study. Eur J Pediatr. 2019;178:551–7.PubMedCrossRef Sokou R, Konstantinidi A, Stefanaki C, Tsantes AG, Parastatidou S, Lampropoulou K, et al. Thromboelastometry: studying hemostatic profile in small for gestational age neonates-a pilot observational study. Eur J Pediatr. 2019;178:551–7.PubMedCrossRef
29.
go back to reference Mitsiakos G, Karametou M, Gkampeta A, Karali C, Papathanasiou AE, Papacharalambous E, et al. Effectiveness and safety of 4-factor prothrombin complex concentrate (4PCC) in neonates with intractable bleeding or severe coagulation disturbances: a retrospective study of 37 cases. J Pediatr Hematol Oncol. 2019;41:e135–40.PubMedCrossRef Mitsiakos G, Karametou M, Gkampeta A, Karali C, Papathanasiou AE, Papacharalambous E, et al. Effectiveness and safety of 4-factor prothrombin complex concentrate (4PCC) in neonates with intractable bleeding or severe coagulation disturbances: a retrospective study of 37 cases. J Pediatr Hematol Oncol. 2019;41:e135–40.PubMedCrossRef
30.
go back to reference Guzzetta NA, Williams GD. Current use of factor concentrates in pediatric cardiac anesthesia. Paediatr Anaesth. 2017;27:678–87.PubMedCrossRef Guzzetta NA, Williams GD. Current use of factor concentrates in pediatric cardiac anesthesia. Paediatr Anaesth. 2017;27:678–87.PubMedCrossRef
31.
go back to reference Del Vecchio A, Sola MC. Performing and interpreting the bleeding time in the neonatal intensive care unit. Clin Perinatol. 2000;27:643–54.PubMedCrossRef Del Vecchio A, Sola MC. Performing and interpreting the bleeding time in the neonatal intensive care unit. Clin Perinatol. 2000;27:643–54.PubMedCrossRef
32.
33.
go back to reference Will A. Neonatal haemostasis and the management of neonatal thrombosis. Br J Haematol. 2015;169:324–32.PubMedCrossRef Will A. Neonatal haemostasis and the management of neonatal thrombosis. Br J Haematol. 2015;169:324–32.PubMedCrossRef
34.
go back to reference Schott NJ, Emery SP, Garbee C, Waters J. Thromboelastography in term neonates. J Matern Fetal Neonatal Med. 2018;31:2599–604.PubMedCrossRef Schott NJ, Emery SP, Garbee C, Waters J. Thromboelastography in term neonates. J Matern Fetal Neonatal Med. 2018;31:2599–604.PubMedCrossRef
35.
go back to reference Nacoti M, Corbella D, Fazzi F, Rapido F, Bonanomi E. Coagulopathy and transfusion therapy in pediatric liver transplantation. World J Gastroenterol. 2016;22:2005–23.PubMedPubMedCentralCrossRef Nacoti M, Corbella D, Fazzi F, Rapido F, Bonanomi E. Coagulopathy and transfusion therapy in pediatric liver transplantation. World J Gastroenterol. 2016;22:2005–23.PubMedPubMedCentralCrossRef
36.
go back to reference Haidl H, Zöhrer E, Pohl S, Leschnik B, Weiss EC, Gallistl S, et al. New insights into neonatal coagulation: normal clot formation despite lower intra-clot thrombin levels. Pediatr Res. 2019;86:719–24.PubMedCrossRef Haidl H, Zöhrer E, Pohl S, Leschnik B, Weiss EC, Gallistl S, et al. New insights into neonatal coagulation: normal clot formation despite lower intra-clot thrombin levels. Pediatr Res. 2019;86:719–24.PubMedCrossRef
37.
go back to reference Tesfamariam B. Distinct characteristics of neonatal platelet reactivity. Pharmacol Res. 2017;123:1–9.PubMedCrossRef Tesfamariam B. Distinct characteristics of neonatal platelet reactivity. Pharmacol Res. 2017;123:1–9.PubMedCrossRef
38.
go back to reference Van Cott EM, Grabowski EF. Vascular hemostasis in flowing blood in children. Semin Thromb Hemost. 1998;24:583–90.PubMedCrossRef Van Cott EM, Grabowski EF. Vascular hemostasis in flowing blood in children. Semin Thromb Hemost. 1998;24:583–90.PubMedCrossRef
39.
go back to reference Sola-Visner M, Bercovitz RS. Neonatal platelet transfusions and future areas of research. Transfus Med Rev. 2016;30:183–8.PubMedCrossRef Sola-Visner M, Bercovitz RS. Neonatal platelet transfusions and future areas of research. Transfus Med Rev. 2016;30:183–8.PubMedCrossRef
40.
go back to reference Schlagenhauf A, Schweintzger S, Birner-Gruenberger R, Leschnik B, Muntean W. Newborn platelets: lower levels of protease-activated receptors cause hypoaggregability to thrombin. Platelets. 2010;21:641–7.PubMedCrossRef Schlagenhauf A, Schweintzger S, Birner-Gruenberger R, Leschnik B, Muntean W. Newborn platelets: lower levels of protease-activated receptors cause hypoaggregability to thrombin. Platelets. 2010;21:641–7.PubMedCrossRef
41.
go back to reference Sidlik R, Strauss T, Morag I, Shenkman B, Tamarin I, Lubetsky A, et al. Assessment of functional fibrinolysis in cord blood using modified thromboelastography. Pediatr Blood Cancer. 2016;63:839–43.PubMedCrossRef Sidlik R, Strauss T, Morag I, Shenkman B, Tamarin I, Lubetsky A, et al. Assessment of functional fibrinolysis in cord blood using modified thromboelastography. Pediatr Blood Cancer. 2016;63:839–43.PubMedCrossRef
42.
go back to reference Punzalan RC, Gottschall JL. Use and future investigations of recombinant and plasma-derived coagulation and anticoagulant products in the neonate. Transfus Med Rev. 2016;30:189–96.PubMedCrossRef Punzalan RC, Gottschall JL. Use and future investigations of recombinant and plasma-derived coagulation and anticoagulant products in the neonate. Transfus Med Rev. 2016;30:189–96.PubMedCrossRef
43.
go back to reference Pal S, Curley A, Stanworth SJ. Interpretation of clotting tests in the neonate. Arch Dis Child Fetal Neonatal Ed. 2015;100:F270–4.PubMedCrossRef Pal S, Curley A, Stanworth SJ. Interpretation of clotting tests in the neonate. Arch Dis Child Fetal Neonatal Ed. 2015;100:F270–4.PubMedCrossRef
44.
go back to reference Mitsiakos G, Papaioannou G, Papadakis E, Chatziioannidis E, Giougi E, Karagianni P, et al. Haemostatic profile of full-term, healthy, small for gestational age neonates. Thromb Res. 2009;124:288–91.PubMedCrossRef Mitsiakos G, Papaioannou G, Papadakis E, Chatziioannidis E, Giougi E, Karagianni P, et al. Haemostatic profile of full-term, healthy, small for gestational age neonates. Thromb Res. 2009;124:288–91.PubMedCrossRef
45.
go back to reference Mitsiakos G, Giougi E, Chatziioannidis I, Karagianni P, Papadakis E, Tsakalidis C, et al. Haemostatic profile of healthy premature small for gestational age neonates. Thromb Res. 2010;126:103–6.PubMedCrossRef Mitsiakos G, Giougi E, Chatziioannidis I, Karagianni P, Papadakis E, Tsakalidis C, et al. Haemostatic profile of healthy premature small for gestational age neonates. Thromb Res. 2010;126:103–6.PubMedCrossRef
47.
go back to reference Raffaeli G, Tripodi A, Cavallaro G, Cortesi V, Scalambrino E, Pesenti N, et al. Thromboelastographic profiles of healthy very low birthweight infants serially during their first month. Arch Dis Child Fetal Neonatal Ed. 2020;105:412–8.PubMedCrossRef Raffaeli G, Tripodi A, Cavallaro G, Cortesi V, Scalambrino E, Pesenti N, et al. Thromboelastographic profiles of healthy very low birthweight infants serially during their first month. Arch Dis Child Fetal Neonatal Ed. 2020;105:412–8.PubMedCrossRef
48.
go back to reference Revel-Vilk S. The conundrum of neonatal coagulopathy. Hematology Am Soc Hematol Educ Program. 2012;2012:450–4.PubMedCrossRef Revel-Vilk S. The conundrum of neonatal coagulopathy. Hematology Am Soc Hematol Educ Program. 2012;2012:450–4.PubMedCrossRef
49.
go back to reference Ghirardello S, Raffaeli G, Scalambrino E, Chantarangkul V, Cavallaro G, Artoni A, et al. The intra-assay reproducibility of thromboelastography in very low birth weight infants. Early Hum Dev. 2018;127:48–52.PubMedCrossRef Ghirardello S, Raffaeli G, Scalambrino E, Chantarangkul V, Cavallaro G, Artoni A, et al. The intra-assay reproducibility of thromboelastography in very low birth weight infants. Early Hum Dev. 2018;127:48–52.PubMedCrossRef
50.
51.
53.
go back to reference Mirabella L, Cotoia A, Colacicco G, Tullo L, Salatto P, Mollica G, et al. Reference values for coagulation assessment in full-term newborns. Minerva Anestesiol. 2017;83:369–74.PubMedCrossRef Mirabella L, Cotoia A, Colacicco G, Tullo L, Salatto P, Mollica G, et al. Reference values for coagulation assessment in full-term newborns. Minerva Anestesiol. 2017;83:369–74.PubMedCrossRef
54.
go back to reference Weiss HJ, Lages B. Evidence for tissue factor-dependent activation of the classic extrinsic coagulation mechanism in blood obtained from bleeding time wounds. Blood. 1988;71:629–35.PubMedCrossRef Weiss HJ, Lages B. Evidence for tissue factor-dependent activation of the classic extrinsic coagulation mechanism in blood obtained from bleeding time wounds. Blood. 1988;71:629–35.PubMedCrossRef
55.
go back to reference Hassan HJ, Leonardi A, Chelucci C, Mattia G, Macioce G, Guerriero R, et al. Blood coagulation factors in human embryonic-fetal development: preferential expression of the FVII/tissue factor pathway. Blood. 1990;76:1158–64.PubMedCrossRef Hassan HJ, Leonardi A, Chelucci C, Mattia G, Macioce G, Guerriero R, et al. Blood coagulation factors in human embryonic-fetal development: preferential expression of the FVII/tissue factor pathway. Blood. 1990;76:1158–64.PubMedCrossRef
56.
go back to reference Acharya SS. Rare bleeding disorders in children: identification and primary care management. Pediatrics. 2013;132:882–92.PubMedCrossRef Acharya SS. Rare bleeding disorders in children: identification and primary care management. Pediatrics. 2013;132:882–92.PubMedCrossRef
57.
go back to reference Israels SJ, Cheang T, McMillan-Ward EM, Cheang M. Evaluation of primary hemostasis in neonates with a new in vitro platelet function analyzer. J Pediatr. 2001;138:116–9.PubMedCrossRef Israels SJ, Cheang T, McMillan-Ward EM, Cheang M. Evaluation of primary hemostasis in neonates with a new in vitro platelet function analyzer. J Pediatr. 2001;138:116–9.PubMedCrossRef
58.
go back to reference Radicioni M, Mezzetti D, Del Vecchio A, Motta M. Thromboelastography: might work in neonatology too? J Matern Fetal Neonatal Med. 2012;25(Suppl 4):18–21.PubMed Radicioni M, Mezzetti D, Del Vecchio A, Motta M. Thromboelastography: might work in neonatology too? J Matern Fetal Neonatal Med. 2012;25(Suppl 4):18–21.PubMed
59.
go back to reference Thornburg C, Pipe S. Neonatal thromboembolic emergencies. Semin Fetal Neonatal Med. 2006;11:198–206.PubMedCrossRef Thornburg C, Pipe S. Neonatal thromboembolic emergencies. Semin Fetal Neonatal Med. 2006;11:198–206.PubMedCrossRef
60.
go back to reference Jaggers J, Lawson JH. Coagulopathy and inflammation in neonatal heart surgery: mechanisms and strategies. Ann Thorac Surg. 2006;81:S2360–6.PubMedCrossRef Jaggers J, Lawson JH. Coagulopathy and inflammation in neonatal heart surgery: mechanisms and strategies. Ann Thorac Surg. 2006;81:S2360–6.PubMedCrossRef
61.
go back to reference Maroney SA, Peterson JA, Zwifelhofer W, Martinez ND, Yan K, Bercovitz RS, et al. Plasma proteolytic cascade activation during neonatal cardiopulmonary bypass surgery. Thromb Haemost. 2018;118:1545–55.PubMedPubMedCentralCrossRef Maroney SA, Peterson JA, Zwifelhofer W, Martinez ND, Yan K, Bercovitz RS, et al. Plasma proteolytic cascade activation during neonatal cardiopulmonary bypass surgery. Thromb Haemost. 2018;118:1545–55.PubMedPubMedCentralCrossRef
62.
go back to reference McEwan A. Aspects of bleeding after cardiac surgery in children. Paediatr Anaesth. 2007;17:1126–33.PubMedCrossRef McEwan A. Aspects of bleeding after cardiac surgery in children. Paediatr Anaesth. 2007;17:1126–33.PubMedCrossRef
63.
go back to reference Reverdiau-Moalic P, Gruel Y, Delahousse B, Rupin A, Huart MC, Body G, et al. Comparative study of the fibrinolytic system in human fetuses and in pregnant women. Thromb Res. 1991;61:489–99.PubMedCrossRef Reverdiau-Moalic P, Gruel Y, Delahousse B, Rupin A, Huart MC, Body G, et al. Comparative study of the fibrinolytic system in human fetuses and in pregnant women. Thromb Res. 1991;61:489–99.PubMedCrossRef
64.
go back to reference Koh SC, Cheong YC, Arulkumaran S, Ratnam SS. Coagulation activation, fibrinolysis and inhibitors in neonates. Ann Acad Med Singap. 1997;26:767–71.PubMed Koh SC, Cheong YC, Arulkumaran S, Ratnam SS. Coagulation activation, fibrinolysis and inhibitors in neonates. Ann Acad Med Singap. 1997;26:767–71.PubMed
65.
go back to reference Blanchette VS, Rand ML. Platelet disorders in newborn infants: diagnosis and management. Semin Perinatol. 1997;21:53–62.PubMedCrossRef Blanchette VS, Rand ML. Platelet disorders in newborn infants: diagnosis and management. Semin Perinatol. 1997;21:53–62.PubMedCrossRef
66.
go back to reference Deschmann E, Sola-Visner M, Saxonhouse MA. Primary hemostasis in neonates with thrombocytopenia. J Pediatr. 2014;164:167–72.PubMedCrossRef Deschmann E, Sola-Visner M, Saxonhouse MA. Primary hemostasis in neonates with thrombocytopenia. J Pediatr. 2014;164:167–72.PubMedCrossRef
67.
go back to reference Schmidt B, Gillie P, Mitchell L, Andrew M, Caco C, Roberts R. A placebo-controlled randomized trial of antithrombin therapy in neonatal respiratory distress syndrome. Am J Respir Crit Care Med. 1998;158:470–6.PubMedCrossRef Schmidt B, Gillie P, Mitchell L, Andrew M, Caco C, Roberts R. A placebo-controlled randomized trial of antithrombin therapy in neonatal respiratory distress syndrome. Am J Respir Crit Care Med. 1998;158:470–6.PubMedCrossRef
68.
go back to reference Levin EG, Banka CL, Parry GC. Progressive and transient expression of tissue plasminogen activator during fetal development. Arterioscler Thromb Vasc Biol. 2000;20:1668–74.PubMedCrossRef Levin EG, Banka CL, Parry GC. Progressive and transient expression of tissue plasminogen activator during fetal development. Arterioscler Thromb Vasc Biol. 2000;20:1668–74.PubMedCrossRef
69.
go back to reference Sumi Y, Dent MA, Owen DE, Seeley PJ, Morris RJ. The expression of tissue and urokinase-type plasminogen activators in neural development suggests different modes of proteolytic involvement in neuronal growth. Development. 1992;116:625–37.PubMedCrossRef Sumi Y, Dent MA, Owen DE, Seeley PJ, Morris RJ. The expression of tissue and urokinase-type plasminogen activators in neural development suggests different modes of proteolytic involvement in neuronal growth. Development. 1992;116:625–37.PubMedCrossRef
Metadata
Title
Developmental hemostasis in the neonatal period
Authors
Vicente Rey y Formoso
Ricardo Barreto Mota
Henrique Soares
Publication date
01-01-2022
Publisher
Springer Singapore
Published in
World Journal of Pediatrics / Issue 1/2022
Print ISSN: 1708-8569
Electronic ISSN: 1867-0687
DOI
https://doi.org/10.1007/s12519-021-00492-3

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