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Adapting haematology practices for effective management of blood disorders in pregnancy in a limited resource setting
Thushara Balasuriya1, Chitranga C Kariyawasan2
1Department of Haematology, Medical Laboratory Scientist, Sri Jayewardenepura General Hospital Thalapathpitiya, Nugegoda, Sri Lanka.
Introduction:
Haematology plays a crucial role in the management of pregnant females as blood disorders are common in these patients which can significantly impact on maternal and fetal health. This paper explores how haematology can adapt its practice to address the unique challenges posed by physiological/pathological changes during pregnancy.
Methods:
A comprehensive review of the physiological changes in blood volume, coagulation, and haematological parameters during pregnancy was conducted. Case series of pregnant women with various blood disorders, including gestational thrombocytopenia, iron deficiency anaemia, venous thromboembolism, sickle cell disease, and thalassemia, were analysed to illustrate management strategies.
Results:
The physiological increase in blood volume during pregnancy leads to dilutional effects on haematological parameters, complicating diagnosis and management. Conditions such as gestational thrombocytopenia and anaemia require tailored approaches, while the increased risk of thromboembolic events necessitates proactive risk assessment and prophylactic measures. The management of pre-existing blood disorders demands a multidisciplinary approach, emphasizing collaboration between haematologists and obstetricians.
Discussion:
Effective management of blood disorders in pregnancy is essential on understanding physiological changes, individualized care plans, and patient education. Empowering patients with knowledge about their conditions and potential complications is essential for optimizing outcomes.
Conclusion:
Adapting haematology practice for pregnancy management is vital for addressing the complexities of blood disorders during the critical pregnancy period. A multidisciplinary approach, ongoing education, and research advancements are essential for improving maternal and fetal health outcomes. By fostering collaboration across specialties, healthcare providers can work towards achieving the best possible outcomes for pregnant woman with haematological conditions.
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