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Developing a multidisciplinary Young Women's Blood Disorders Program: a single-centre approach with guidance for
A Zia1,2,3, M Lau1,3, J Journeycake1,2,3
1Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Women with heavy menstrual bleeding (HMB) often have undiagnosed bleeding disorders. A multidisciplinary program improved care for these young women, enhancing their quality of life.
Area of Science:
- Reproductive Health
- Hematology
- Women's Health
Background:
- Heavy menstrual bleeding (HMB) affects millions of women, with up to 20% having an underlying bleeding disorder.
- Many women with HMB face challenges in receiving adequate medical care, often being treated symptomatically without addressing the root cause.
- The significant impact of HMB on quality of life necessitates a comprehensive approach to care.
Purpose of the Study:
- To describe the development and implementation of a multidisciplinary Young Women's Blood Disorders (YWBD) Program.
- To outline the collaborative efforts of various specialties in managing young women with HMB and bleeding disorders.
- To propose metrics for evaluating the success and support of such specialized programs.
Main Methods:
- Established a multidisciplinary program involving pediatric hematology, adolescent medicine, and pediatric/adolescent gynecology.
- Integrated expertise from laboratory coagulationists, nutritionists, and nursing professionals.
- Detailed patient selection, role of each specialty, testing strategies, care coordination, and overall management.
Main Results:
- Successfully developed and implemented a comprehensive YWBD program.
- Gained experience in patient selection, interdisciplinary collaboration, and tailored management strategies.
- Identified key components for effective care coordination and patient management.
Conclusions:
- There is an increasing demand for integrated care models for women experiencing HMB and blood disorders.
- The established YWBD program demonstrates success in providing optimal care to young women with HMB.
- Such programs are vital for improving health outcomes and quality of life for affected individuals.
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