Management of pregnancy and delivery in women with inherited bleeding disorders

Flora Peyvandi, Christoph Bidlingmaier, Isabella Garagiola

Research output: Contribution to journalArticle

Abstract

Women with inherited bleeding disorders present a wide spectrum of clinical symptoms that vary from mild or moderate bleeding tendency to severe episodes. Monthly haemostatic changes affect these women during menstruation and ovulation. These events may be associated with significant bleeding and pain leading to the limitations in conducting daily activities and adverse effect on quality of life. Likewise, pregnancy and delivery are critical times for affected women. During pregnancy, they may be at greater risk of miscarriage and bleeding complications. In particular, recurrent miscarriage was observed in women with type 3 von Willebrand disease, afibrinogenaemia and severe factor XIII deficiency, and an optimal therapeutic plan is required during their pregnancy. Precautions must be taken at delivery in these women, since they could be at risk of bleeding. The lack of adequate information makes it very difficult to prepare evidence-based guidelines for the prevention of bleedings in affected women and their treatment. A multidisciplinary team of obstetricians, haematologists and paediatricians is required with a good knowledge of these disorders and an awareness of the potential maternal neonatal complications.

Original languageEnglish
Pages (from-to)311-317
Number of pages7
JournalSeminars in Fetal and Neonatal Medicine
Volume16
Issue number6
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Bleeding neonate
  • Inherited bleeding disorders
  • Pregnancy and delivery
  • Prenatal diagnosis
  • Therapeutic management

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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