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Hematologic disease in pregnancy: the obstetrician's perspective
Nicole A Smith1, Katherine E Economy
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. nasmith@partners.org
Pregnancy can be a time of significantly increased morbidity and mortality in women with hematologic disease. With careful planning and preparation, most women can be cared for safely, resulting in a healthy mother and child. Management concerns in each trimester are reviewed, with a particular focus on labor and delivery planning and common obstetric complications. Diagnostic testing and the use of medications in pregnancy and lactation are discussed in detail.
Pregnancy can be a time of significantly increased morbidity and mortality in women with hematologic disease. With careful planning and preparation, most women can be cared for safely, resulting in a healthy mother and child. Management concerns in each trimester are reviewed, with a particular focus on labor and delivery planning and common obstetric complications. Diagnostic testing and the use of medications in pregnancy and lactation are discussed in detail.
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