怀孕期间遗传性出血障碍:产科管理和第三级护理中心的结果
Melis Altug Inan1, Bilge Kapudere2, Hanne Bulat Cim1
1Department of Obstetrics and Gynaecology, Goztepe Prof. Dr. Süleyman Yalçın City Hospital, Istanbul, Türkiye.
概括
患有遗传凝血因子缺陷的孕妇面临复杂的产科挑战. 个性化护理和多学科管理对于优化这些高风险怀孕中母亲和新生儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 遗传性凝血因子缺陷在怀孕和分娩期间存在重大风险.
- 这些情况可能会导致母亲和新生儿出血并发症的增加.
- 有效的管理需要专门的知识和协调的护理.
研究的目的:
- 评估对具有遗传凝血因子缺陷的孕妇产科管理策略.
- 为了确定这个患者群体中常见的并发症和临床特征.
- 在三级产科中心评估10年期间的结果.
主要方法:
- 对17名遗传性凝血因子缺乏症妇女的19次怀孕的回顾性审查.
- 收集的数据包括因素类型和水平,分娩方式,母亲的结果和治疗方法.
- 研究期:2015年1月至2025年4月,在第三级推中心进行.
主要成果:
- ·威尔布兰德病是最常见的诊断 (37%),其次是XI因子 (21%),VII (16%),X (11%),XIII (5%).
- 剖腹产是在58%的怀孕中进行的,主要是用于产科指示.
- 产后出血发生在24%的病例中,其中一个需要腹腔切除;因子活性水平与出血结果没有一致的相关性.
结论:
- 遗传性凝血因子缺陷带来了复杂的产科挑战,需要个性化管理.
- 预防性替代策略和密切的产后监测是必不可少的.
- 多学科中心内的管理对于优化母亲和新生儿的结果至关重要.
更多相关视频
相关概念视频
01:24Disorders of Hemostasis
2.5K
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
2.5K
01:30Venous Thrombosis IV: Nursing Management
333
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
333
01:28Esophageal Varices-II: Clinical Features and Management
700
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
700
01:29Venous Thrombosis III: Interprofessional Care
431
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
431
01:30Anticoagulant Drugs: Low-Molecular-Weight Heparins
2.2K
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
2.2K
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
576
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
576