Acute coagulopathy in pregnancy.
Pregnancy alters both the fibrinolytic system and coagulation cascade. In addition, pregnancy presents unique triggering mechanisms for DIC. Management of DIC in pregnancy should include removal of the triggering mechanism, blood, and factor replacement. Inherited coagulation defects, while rarely resulting in bleeding diathesis in the pregnant patient, do require monitoring of maternal factor levels. Genetic counseling should be offered to all patients with inheritable coagulation disorders.
Finley
B E
BE
Department of Gynecology and Obstetrics, University of Kansas Medical Center, Kansas City.
D000208:Acute Disease; D001424:Bacterial Infections; D001777:Blood Coagulation; D001778:Blood Coagulation Disorders / Q000150:complications* / Q000503:physiopathology; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000628:therapy; D004619:Embolism, Amniotic Fluid / Q000150:complications; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000503:physiopathology / Q000628:therapy; D011272:Pregnancy, Multiple