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Keywords:

  • carriers of haemophilia;
  • factor XI deficiency;
  • preconceptual counselling;
  • prenatal diagnosis;
  • von Willebrand disease

Key content

  • Pregnancy in women with inherited bleeding disorders requires specialised and individualised care using a multidisciplinary approach with obstetricians, midwives, haematologists and anaesthetists.
  • Childbirth presents an intrinsic haemostatic challenge in these women and obstetricians may be the first to encounter haemorrhagic complications.
  • An understanding and awareness of these disorders and close collaboration between obstetricians and haematologists are essential in ensuring a successful outcome.

Learning objectives

  • To understand the basic principles in the obstetric management of women with inherited bleeding disorders.
  • To know the options available for prenatal diagnosis.
  • To be aware of the increased risk of haemorrhagic complications in these women and their offspring.

Ethical issues

  • Advances in prenatal diagnosis and treatment of inherited bleeding disorders create complex dilemmas for families affected by these disorders.

Please cite this article as: Chi C, Kadir RA. Management of women with inherited bleeding disorders in pregnancy. The Obstetrician & Gynaecologist 2007;9:27–33.