Le rôle du médecin anesthésiste-réanimateur dans la prise en charge de la femme enceinte porteuse de la maladie de Von Willebrand

Baouahi, Hanane; Zerqouni, Yassine; Doumiri, Mouhcine; Oudghiri, Nezha; Saoud, Anas Tazi

doi:10.11604/pamj.2015.22.335.7997

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Recent experience suggests the possibility of starting the treatment immediately before delivery, without obvious side effects for the mother and the newborn. The use of desmopressin in the first trimester of pregnancy to cover chorionic villus sampling or amniocentesis appears to be feasible and safe, without risk of miscarriage (Baouahi, H. et al, 2015).…”

Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

“…Usual thromboprophylaxis treatment with LMWH should be implemented in patients at high risk of venous thrombosis during replacement therapy in case of cesarean section. If performed, VWF: RCo and peak FVIII: C should be > 50 U / dL (Baouahi, H. et al, 2015).…”

Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

“…However, in type 2B the abnormal VWF increase may cause or worsen thrombocytopenia and a platelet transfusion might also be required at parturition. FVIII and VWF fall to baseline levels soon after delivery, and therefore oral anti-fibrinolytics (e.g., tranexamic acid 1 gr every 8 hours for 3-4 days) can be used during this period to prevent bleeding due to heavy lochia (Baouahi, H. et al, 2015).…”

Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

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Peripartum Management of Vonwildebrand Disease: A Case Report

Abdelaziz¹,

Hajar²,

Mohammed³

et al. 2022

iarjs

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Understanding coagulation disorders is essential, especially for obstetricians and intensive care providers managing parturients, as these disorders can have significant consequences for the mother and child during the peripartum period. Von Willebrand-Jürgens syndrome or von Willebrand disease is the most common congenital bleeding disorder. It is subject to autosomal inheritance with variable penetrance and expressivity. The cause of the disease lies in quantitative (type 1, type 3) or qualitative (type 2) abnormalities of vonWillebrand factor (vWF). vWF has two important functions in coagulation. On the one hand, it circulates in plasma as a carrier protein for factor VIII and thus has a protective function; on the other hand, it is responsible for platelet adhesion to the subendothelium of injured vessels and platelet aggregation . The risk of bleeding varies according to the severity of the injury. The therapeutic management strategy depends on the type of disease. In this paper, we report the observation of two patients with von Willebrand disease who had vaginal deliveries.

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Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

Section: There Are Two Agents Used To Prevent Peripartum Bleeding: De...mentioning

confidence: 99%

See 1 more Smart Citation

Peripartum Management of Vonwildebrand Disease: A Case Report

Abdelaziz¹,

Hajar²,

Mohammed³

et al. 2022

iarjs

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Perioperative management of patients with hemostatic system disorders. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” and the National Association of Specialists in Thrombosis, Clinical Hemostasiology and Hemorheology

Zabolotskikh,

Sinkov,

Bulanov

et al. 2024

Annals of Critical Care

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Perioperative coagulation disorders pose a serious risk of life-threatening complications. The article presents methodological recommendations of the Federation of Anesthesiologists and reanimatologists of Russian Federation for the perioperative management of patients with disorders of the hemostatic system, which summarizes aspects of both diagnosis and assessment, and intensive care of congenital and acquired disorders of the coagulation system in the perioperative period. The literature search focused on meta-analyses and randomized controlled trials, but also included registries, non-randomized comparative and descriptive studies, case series, cohort studies, systematic reviews, and expert opinion. The principles of perioperative management of disseminated intravascular coagulation syndrome, hepatic, uremic, traumatic, septic coagulopathy, acquired thrombocytopenia and trobocytopathies, antiphospholipid syndrome, hemophilia A and B, von Willebrand disease and other pathologies are described. For each recommendation, the level of certainty of the evidence and the level of strength of the evidence are presented. The recommendations were developed by experts in the field of perioperative patient management for anesthesiologists and intensive care physicians as a help in making clinical decisions; the final decision for a particular patient is made by the attending physician.

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Le rôle du médecin anesthésiste-réanimateur dans la prise en charge de la femme enceinte porteuse de la maladie de Von Willebrand

Cited by 2 publications

References 6 publications

Peripartum Management of Vonwildebrand Disease: A Case Report

Peripartum Management of Vonwildebrand Disease: A Case Report

Perioperative management of patients with hemostatic system disorders. Methodological recommendations of the All-Russian public organization “Federation of Anesthesiologists and Reanimatologists” and the National Association of Specialists in Thrombosis, Clinical Hemostasiology and Hemorheology

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