title: Anesthesia in the pregnant patient with hematologic disorders.
abstract: The management of patients with hematologic disorders in pregnancy involves a multidisciplinary approach involving specialists from hematology, obstetrics, and anesthesiology. Whereas regional anesthesia has led to a decline in maternal morbidity and mortality, the presence of uncorrected coagulopathy or the use of anticoagulant or antithrombotic medications pose a special risk for the rare complication of an epidural hematoma after neuraxial anesthesia. This article briefly reviews the common principles of anesthesia for obstetric patients, provides an obstetric anesthesiologist's perspective on the implications of regional anesthesia in obstetrics, and enhances communication between the specialties.
authors: Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA 02115, USA.
authors: Lorraine
authors: L
authors: Chow
authors: Michaela K
authors: MK
authors: Farber
authors: William R
authors: WR
authors: Camann
mesh_terms: D000765:Anesthesia, Conduction; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D002585:Cesarean Section; D005260:Female; D006470:Hemorrhage / Q000517:prevention & control*; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy; D019851:Thrombophilia / Q000188:drug therapy
chemical_list: D000925:Anticoagulants