title: Bleeding disorders in obstetrics and gynaecological practice.
abstract: The objective of the study was to determine the frequency, types, presenting symptoms and management options in patients with bleeding disorders in the local obstetric and gynaecological practice. This was a descriptive study of oneyear duration conducted at the Pakistan Atomic Energy Commission General Hospital, Islamabad. Types of bleeding disorders in decreasing order of frequency were HELLP syndrome in 27.7% (n=5), gestational thrombocytopenia in 22% (n=4), Von Willbrand disease in 16.66% (n=3), Glanzmann's thrombesthenia in 11.11% (n=2), autoimmune haemolytic anaemia in 11.11% (n=2), post-transfusion purpura in 6% (n=1) and factor V deficiency in 6% (n=1). HELLP syndrome and gestational thrombocytopenia were the commonest bleeding disorders in pregnant patients and Von Willebrand disease is the the commonest bleeding disorder in gynaecological patients with menorrhagia.
authors.affiliation: Department of Obstetrics and Gynaecology, PAEC General Hospital, Islamabad. musseratashraf@yahoo.com
authors.forename: Mussarat
authors.initials: M
authors.lastname: Ashraf
authors.forename: Zaiba
authors.initials: Z
authors.lastname: Sher
authors.forename: Nabila
authors.initials: N
authors.lastname: Irum
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006176:Gynecology / Q000193:education*; D006474:Hemorrhagic Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008020:Life Support Care / Q000379:methods*; D008297:Male; D009017:Morbidity / Q000639:trends; D009774:Obstetrics / Q000193:education*; D010154:Pakistan / Q000453:epidemiology; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D012151:Resuscitation / Q000193:education*; D055815:Young Adult