Oral contraceptives, antithrombin- III activity, and postoperative deep-vein thrombosis

Lancet. 1976 Mar 6;1(7958):509-11. doi: 10.1016/s0140-6736(76)90296-8.

Abstract

Deep-vein thrombosis (D.V.T.) was detected by the fibrinogen-uptake test in six out of a total of thirty-one young women undergoing emergency abdominal surgery who gave a history of recent oral contraceptive intake. In contrast, no D.V.T. developed in nineteen similar patients who were not on oral contraceptives (P less than 0-01). Plasma-antithrombin-III activity was significantly lower preoperatively in patients taking oral contraceptives; postoperative D.V.T. subsequently developed in three out of five patients with preoperative antithrombin-III activity below 50%. In seventy-eight dental patients undergoing molar extraction, antithrombin-III activity was measured before, during, and after operation. Activity fell in all patients during operation, but the fall was significantly greater in women taking oral contraceptives (P less than 0-01). The intra-operative fall in antithrombin-III activity was prevented by a small preoperative dose of subcutaneous heparin.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Agammaglobulinemia / chemically induced
  • Alpha-Globulins / deficiency*
  • Antithrombin III / analysis
  • Antithrombin III Deficiency*
  • Appendicitis / surgery
  • Estradiol Congeners / adverse effects*
  • Female
  • Fibrinogen
  • Heparin / administration & dosage
  • Humans
  • Postoperative Care
  • Postoperative Complications / chemically induced*
  • Preoperative Care
  • Prospective Studies
  • Thrombophlebitis / chemically induced*
  • Thrombophlebitis / diagnosis
  • Tooth Extraction

Substances

  • Alpha-Globulins
  • Estradiol Congeners
  • Antithrombin III
  • Fibrinogen
  • Heparin