Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder

Abstract

Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort.

Management of surgery, menorrhagia and child-birth for patients with unclassified bleeding disorders: a systematic review of cohort studies

“…Blood component transfusion, such as allogeneic platelet or plasma transfusion. Some UBDs may be because of an undetected platelet function disorder, or clotting factor disorder, so empirical use of allogenic platelet transfusion or plasma transfusion has also been used [11].…”