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Acute coagulopathy in pregnancy.
1Department of Gynecology and Obstetrics, University of Kansas Medical Center, Kansas City.
The Medical Clinics of North America
|May 1, 1989
Summary
Pregnancy significantly impacts blood clotting and can trigger disseminated intravascular coagulation (DIC). Management involves addressing the cause, and replacing blood and clotting factors. Monitoring and genetic counseling are crucial for inherited coagulation disorders during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Hematology
- Critical Care Medicine
Background:
- Pregnancy is a prothrombotic state, altering coagulation and fibrinolysis.
- Unique triggers for disseminated intravascular coagulation (DIC) exist during pregnancy.
- Inherited coagulation disorders require special consideration in pregnant patients.
Purpose of the Study:
- To outline the management of disseminated intravascular coagulation (DIC) in pregnancy.
- To emphasize the importance of monitoring and genetic counseling for inherited coagulation disorders in pregnancy.
Main Methods:
- Review of physiological changes in coagulation during pregnancy.
- Analysis of unique DIC triggers in the obstetric population.
- Guidelines for management of DIC and inherited coagulation defects in pregnancy.
Main Results:
- Pregnancy-induced alterations in coagulation necessitate specific DIC management strategies.
- Prompt removal of triggering factors, blood product transfusion, and factor replacement are key to DIC management.
- Maternal factor level monitoring and genetic counseling are essential for inherited coagulation disorders.
Conclusions:
- Effective management of DIC in pregnancy requires a multi-faceted approach.
- Proactive monitoring and genetic counseling are vital for pregnant patients with inherited coagulation disorders to prevent bleeding complications.