Abstract

THE POTENTIAL ROLE OF CHANGES IN HEMOSTATIC IN PREGNANT WOMEN

Sahar Hatem Manhal* and Sameerah Sadiq Abdulsamad

Abstract

The parturient with coagulation defects presents a unique challenge to the anesthetist. In addition to concerns of peripartum hemorrhage, one must be aware of the consequences of bleeding diatheses, factor replacement strategies, and anticoagulation on the safety profile of neuraxial anesthesia. The risk of spinal or epidural hematoma in these patients has not been quantified fully but is nevertheless a factor that one must consider on an individual basis in determining whether neuraxial anesthesia is appropriate. Owing to the rarity of many of these disorders, consensus guidelines are lacking. More research is needed on optimal factor-replacement strategies, including the duration of treatment, how best to monitor patients with new point-of-care tests, and proper protocols to ensure both preventions of postpartum hemorrhage and neuraxial complications.

Keywords: Hemostatic, pregnant women.