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Analgesia, anaesthesia and obstetric outcome in women with inherited bleeding disorders

European Journal of Obstetrics & Gynecology and Reproductive Biology Jun 08, 2019

Boyd SC, et al. - Researchers examined a cohort of women with inherited bleeding disorders (IBD) for anesthetic use and obstetric outcomes. From a maternal medicine database, they identified 97 women with IBD that delivered 130 babies at the CWIUH from Jan 2011 to Dec 2016. Comparing pregnancies where regional anaesthesia was not recommended (49) vs pregnancies where regional anaesthesia was considered safe (81), the women were more likely to see an anaesthetist before labour 46 (94%) vs 46 (61%); to require prophylactic haemostatic support for delivery 30 (61%) vs 1 (1%); to use a remifentanil infusion 15 (31%) vs 0 and to have general anaesthesia for Caesarean Section (CS) 10 (20%) vs 1(1%). Outcomes suggest no influence of contraindication to neuraxial blockade on mode of delivery in laboring women with IBD.
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