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Case Reports
. 2018 Sep 18:7:1482.
doi: 10.12688/f1000research.16097.2. eCollection 2018.

Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder

Li Li  1 , Jill M Johnsen  2 , Chau X Doan  1 , Laurent A Bollag  1
Affiliations
Case Reports

Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder

Li Li et al. F1000Res. .

Abstract

Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort.

Keywords: Anesthesia; Bleeding disorder; Cesarean section; Parturient; Spinal.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Case management timeline.
Hematologic interventions for the planned Cesarean section are shown on top, whereas the intraoperative interventions to reduce bleeding risks are shown on the bottom of the arrow. Case events are shown in red.
See this image and copyright information in PMC

References

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