title: Successful management of maternal factor VII deficiency in a cesarean section.
abstract: Factor VII (FVII) deficiency is an infrequent hereditary bleeding disorder that can make excessive bleeding in surgical interventions, such as a postpartum hemorrhage in a cesarean section. Although a recombinant form of activated FVII has been applied for bleeding control in FVII-deficient patients, its applications in the field of obstetrics are still limited, especially in Korea. Replacement of blood products is still preferred as first-line therapy, with antifibrinolytic agents used as adjunctive therapy. We report herein the case of a successful cesarean section in an 18-year-old woman with FVII deficiency.
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
authors.forename: Young-Jae
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
authors.forename: Da-Hye
authors.initials: DH
authors.lastname: Ju
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
authors.forename: Sang-Wook
authors.initials: SW
authors.lastname: Yi
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
authors.forename: Sang-Soo
authors.initials: SS
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, Korea.
authors.forename: Woo-Seok
authors.initials: WS
authors.lastname: Sohn
keywords: Antifibrinolytic agents; Cesarean section; Factor VII deficiency; Pregnancy; Transfusion
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