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A consensus statement on the management of pregnancy and delivery in women who are carriers of or have bleeding disorders
Author(s) -
Dunkley Scott M,
Russell Susan J,
Rowell John A,
Barnes Chris D,
Baker Ross I,
Sarson Megan l,
Street Alison M
Publication year - 2009
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2009.tb02887.x
Subject(s) - medicine , pregnancy , haemophilia , obstetrics and gynaecology , obstetrics , intensive care medicine , multidisciplinary approach , tranexamic acid , family medicine , pediatrics , surgery , social science , genetics , sociology , biology , blood loss
Pregnancy and delivery are critical times for women with bleeding disorders, with mothers, and possibly their affected infants, being exposed to a variety of haemostatic challenges. Management of women with bleeding disorders during pregnancy involves a multidisciplinary team including, but not limited to, an obstetrician, an anaesthetist and a haematologist. This consensus document from the Australian Haemophilia Centre Directors’ Organisation (AHCDO) provides practical information for clinicians managing women with bleeding disorders during pregnancy. Included are: the expected physiological response in pregnancy in such women; management of pregnancy, labour and delivery, as well as obstetric anaesthesia issues, postpartum care, and reducing and treating postpartum haemorrhage; and management of infants at risk of a bleeding disorder and of bleeding in neonates.The guidelines were developed after extensive consultation, face‐to‐face meetings and revisions. The final document represents a consensus opinion of all AHCDO members. Where evidence is lacking, recommendations are based on clinical experience and consensus opinion.