Description
Coagulation disorders can significantly affect the management of both the mother and the fetus.
Significant changes occur in the coagulation system during pregnancy. An understanding of these
physiological changes is essential to discuss the relationship between pregnancy and these disorders.
The most important and commonly encountered inherited bleeding disorders in pregnancy are
haemophilia A and B and Von Willebrands disease. With better life expectancy, more women with these
disorders are getting pregnant. A multidisciplinary approach is essential in their care during pregnanacy
and puerperium, involving obstetricians, haematologists, geneticists, anaesthetists and
neonatologists, preferably in a unit with a haemophilia centre. Pre-pregnancy counselling and genetic screening are also essential part of the management of these women.
