S. Riikonen et al., SERUM CONCENTRATIONS OF ERYTHROPOIETIN IN HEALTHY AND ANEMIC PREGNANT-WOMEN, Scandinavian journal of clinical & laboratory investigation, 54(8), 1994, pp. 653-657
We have found serum erythropoietin (EPO) concentration significantly (
p < 0.01) increased during normal pregnancy. Erythropoietin concentrat
ion was significantly (p < 0.05) higher before the 24th gestational we
ek than after it. In pregnant women with iron deficiency anaemia serum
EPO concentration was significantly (p < 0.001) higher than in health
y pregnant women. In anaemic women significant (p < 0.001) linear corr
elation between haemoglobin (hgb) and log serum EPO concentrations was
observed. In pregnant women including both healthy and anaemic women
log serum EPO concentrations correlated inversely with hgb concentrati
ons (p < 0.01). We conclude that erythropoietin secretion is raised in
normal pregnancy and is at highest in the first and second trimesters
, when hgb mass begins to grow. In pregnancy with concomitant anaemia
a more extensive demand for erythropoietin secretion is obvious.