Менеджмент наследственных нарушений свертываемости крови во время беременности

S. Pavord, R. Rayment, B. Madan, A. Cumming, W. Lester, E. Chalmers, B. Myers, H. Maybury, C. Tower, R. A. Kadir

Аннотация


Это руководство предназначено как для специалистов-гематологов, так и для акушеров, которые имеют опыт ведения беременных с нарушениями свертываемости крови. Кроме того, эти рекомендации могут быть полезными для анестезиологов в акушерстве и неонатологов. Женщины, унаследовавшие нарушения свертываемости крови, могут подвергаться значительному риску кровотечения после выкидышей, абортов, дородовых процедур и родов. Они требуют индивидуального мультидисциплинарного специализированного ухода с перекрестной коммуникацией специалистов, в том числе анестезиологов и неонатологов при необходимости. Был достигнут прогресс в выявлении акушерских проблем у этих женщин и повышении уровня осведомленности об оказании медицинской помощи среди работников здравоохранения. Конкретные аспекты их ведения в акушерстве включают консультирование на этапе преконцепционной подготовки, пренатальную диагностику (ПНД), антенатальный, внутриутробный и послеродовой уход и немедленную помощь новорожденному.


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Литература


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