Epidural analgesia for labor and delivery in a patient with von Willebrand's disease.
Patients with histories of bleeding disorders may still benefit from regional anesthetic techniques. The decision to perform the block should be individualized, based on coagulation tests. The authors describe a patient with von Willebrand's disease in whom pregnancy itself improved factor VIII activity, enabling performance of an epidural block for labor and delivery.
Cohen
S
S
Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461.
Daitch
J S
JS
Amar
D
D
Goldiner
P L
PL
D000328:Adult; D000767:Anesthesia, Epidural; D001760:Bleeding Time; D002802:Cholinesterases / Q000097:blood; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000201:enzymology / Q000503:physiopathology; D014842:von Willebrand Diseases / Q000201:enzymology / Q000503:physiopathology
D002802:Cholinesterases