Routine predelivery coagulation screening in previous cesarean patients: impact on patient management.
Coagulation profiles (platelet count, prothrombin time, partial thromboplastin time) obtained as part of predelivery screening were examined in patients who presented for delivery with a history of previous cesarean section. Coagulation test results (N = 1439) were reviewed from charts of 482 patients. No change in patient management occurred and no cesarean sections or vaginal deliveries were deferred as a result of the laboratory tests. There were no hemorrhagic complications. No blood products were transfused as a result of the tests. Routine coagulation evaluation is not justified for subsequent delivery of patients who had a previous cesarean section.
Sakala
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EP
Department of Gynecology and Obstetrics, Loma Linda University Medical Center, CA 92350.
Fillmore
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K
Murray
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RD
D001780:Blood Coagulation Tests; D002140:California; D002585:Cesarean Section / Q000592:standards; D003362:Cost-Benefit Analysis; D003955:Diagnostic Tests, Routine / Q000191:economics*; D005260:Female; D006746:Hospital Bed Capacity, 500 and over; D006801:Humans; D011247:Pregnancy