Two-year follow-up of changes in clinical chemistry in Singaporean Norplant-2 rod acceptors: haemostatic changes.

Abstract:

:A longitudinal study of coagulation parameters was carried out on 100 Singaporean acceptors using Norplant-2 rods for contraceptive purposes. At the end of 2 years of use, results from this study show a return of platelet count to preinsertion level while platelet aggregation remained significantly enhanced. Thus the net effect of these two changes on an increased tendency for thrombosis needs further evaluation. The PT and APTT continued to remain persistently shortened during the period of use. There was also a general fall in fibrinogen and most other coagulation factors during the two years of use. Thus, again, the net effect of these two changes on the exposed potential for hypercoagulation at the end of the first year needs further evaluation throughout the five years of Norplant-2 use. :A longitudinal study of coagulation parameters was carried out on 100 Singaporean acceptors using Norplant-2 rods for contraceptive purposes. At the end of 2 years of use, results from this study show a return of platelet count to preinsertion level while platelet aggregation remained significantly enhanced. Thus the net effect of these 2 changes on an increased tendency for thrombosis needs further evaluation. The Prothrombin Time and Actived Partial Thromboplastin Time continued to remain persistently shortened during the period of use. There was also a general fall in fibrinogen and most other coagulation factors during the 2 years of use. Thus, again, the net effect of these 2 changes on the exposed potential for hypercoagulation at the end of the 1st year needs further evaluation throughout the 5 years of Norplant-2 use.

journal_name

Contraception

journal_title

Contraception

authors

Singh K,Viegas OA,Koh S,Singh P,Ratnam SS

doi

10.1016/s0010-7824(89)80004-6

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

155-64

issue

2

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(89)80004-6

journal_volume

39

pub_type

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