A Case Report of Rotational Thromboelastometry-Assisted Decision Analysis for Two Pregnant Patients With Platelet...

Area of Science:

• Hematology
• Obstetrics
• Anesthesiology

Background:

• Platelet storage pool disorders (PSPDs) are a group of hematologic conditions characterized by impaired platelet aggregation.
• Managing parturients with PSPDs for childbirth presents unique challenges, especially regarding neuraxial anesthesia.

Observation:

• This report details two deliveries involving unrelated patients with PSPDs.
• The cases highlight specific clinical scenarios encountered during labor and delivery.

Findings:

• Rotational thromboelastometry (ROTEM) proved useful in assessing and managing coagulopathy in these patients.
• A multidisciplinary approach involving hematology, obstetrics, and anesthesia is crucial for optimal patient care.

Implications:

• Effective management strategies for parturients with PSPDs can be developed using advanced diagnostic tools like ROTEM.
• This case series underscores the importance of collaborative care in managing rare hematologic disorders during pregnancy and delivery.