What Should I Do If My D-Dimer Level Is High in the Third Trimester?

Update Date: Source: Network

Throughout the entire pregnancy, women are extremely cautious and eagerly anticipating the arrival of their baby. However, during the late stages of pregnancy, various physical indicators become crucial, and the frequency of prenatal exams increases. As the delivery approaches, the d2-polymer level in pregnant women may rise. Unless the value is excessively high, no treatment is necessary, and close observation is sufficient. After childbirth, the level will naturally decrease. If the value increases significantly, prompt treatment is recommended to avoid complications related to blood coagulation, which could affect the delivery process.

What to Do If D2-Polymer Is High During Late Pregnancy?

If the pregnant woman feels generally well and the d2-polymer level is not excessively high, recovery can be managed at home. The most important aspects include adequate rest, avoidance of excessive fatigue, and a balanced diet to boost immunity. In severe cases, immediate medical attention is necessary.

D2-polymer is a protein in the human body that reflects the fibrinolytic function. Elevated levels can indicate the presence of thrombosis, especially during pregnancy. If the level is not properly managed, it can pose risks to both the mother and the baby.

There are many considerations and preparations to make during the late stages of pregnancy. It is advisable to gather all the necessary items for childbirth in one place to avoid last-minute rushes or forgotten items. Sleeping position during late pregnancy is also crucial. It is recommended to sleep on one's side with bent legs and the abdomen pressed against the bed to reduce abdominal pressure.

Abdominal discomfort during late pregnancy can be due to labor pains or preterm labor, and timely medical attention is recommended. Edema in the abdomen is common during this phase, and a diet rich in bland foods and plenty of water is recommended to prevent constipation.

Why Does D2-Polymer Increase During Late Pregnancy?

As the time for delivery approaches, the level of D2-polymer in the blood rises to provide sufficient blood during childbirth. This indicates an enhancement of the coagulation mechanism in pregnant women. Unless the increase is severe, no special treatment is required. The elevated D2-polymer level serves to enhance the ability to stop bleeding promptly during childbirth, making it a normal physiological response during late pregnancy.

Generally, no special intervention is required for mildly elevated D2-polymer levels during late pregnancy as they are not usually severe. After childbirth, the level naturally returns to normal. However, if the level is excessively high, an ultrasound examination is advisable to rule out thrombosis or other complications. In severe cases, medication may be prescribed to control the level.

While mildly elevated D2-polymer levels during late pregnancy generally do not pose significant risks, high levels can increase the risk of thrombosis and even trigger issues like lupus erythematosus. Therefore, it is crucial to follow medical advice and take prescribed medications promptly to control the level.

What Is D2-Polymer?

D2-polymer, also known as fibrin degradation product D (DD), primarily refers to the degradation products of fibrin/fibrinogen. It is a specific indicator for diagnosing secondary fibrinolysis. Monitoring DD levels in pregnant women can help exclude the formation of deep venous thrombosis (DVT) and aid in the diagnosis of severe pregnancy complications.

From the beginning of pregnancy until childbirth, DD concentrations in pregnant women gradually increase, making it challenging to use DD levels to exclude deep venous thromboembolic events (VTE).

The normal range of D2-polymer levels in pregnant women varies depending on the trimester. Typically, the normal ranges for weeks ≤13, 14-20, 21-27, 28-34, and ≥35 are 0.64mg/L, 1.54mg/L, 2.60mg/L, 3.01mg/L, and 3.19mg/L, respectively.

Risks of Abnormal D2-Polymer Levels in Pregnant Women

Abnormal D2-polymer levels in pregnant women can lead to poor coagulation function. This condition refers to the inability to stop bleeding effectively, which can result in excessive bleeding during childbirth and pose a life-threatening risk.