Pregnancy in carriers of high-affinity hemoglobins
S Charache, P Catalano, S Burns, RT Jones, RD Koler, R Rutstein and RR Williams
Pregnancy in female carriers of abnormal hemoglobins with great avidity for
oxygen provides a unique opportunity to assess the importance of the usual
difference in oxygen affinity between fetal and maternal blood. Outcome of
pregnancy was recorded for carriers of hemoglobins Bethesda, Osler, and
Yakima, whose p50s (9.5, 9.1, and 12 mm Hg at pH 7.4) were far lower than
that of a normal fetus (23 mm Hg at pH 7.3). Neither spontaneous abortions
nor intrauterine growth retardation could be attributed to the presence of
high oxygen affinity in the mothers. In vitro simulations suggested that
neither maternal or fetal polycythemia alone was sufficient to adjust for
perturbation of the normal situation, and increased uterine and/or fetal
blood flow probably provided additional compensation.
Volume 65,
Issue 3,
pp. 713-718,
03/01/1985
Copyright © 1985 by The American Society of Hematology