If tests have shown that a woman is likely to suffer from bleeding during or after delivery, preventive treatments should be taken. These include: desmopressin
anti-fibrinolytics (Cyklokapron and Amicar)
VWF concentrates
specific factor concentrates.
It should be assumed, unless prenatal testing has shown the opposite, that the fetus is also affected by a bleeding disorder. As a result, delivery should be as gentle as possible for both the woman and the baby. Natural delivery without the use of instruments is the goal for a woman with a bleeding disorder. In order to prevent bleeding, the following should be avoided, when possible: an epidural (freezing of the lower body by means of a needle in the spine)
suction extraction of the baby
deep intramuscular injections
unnecessary episiotomy (cutting of the skin near the vagina to avoid tearing)
the use of forceps
scalp electrodes
Caesarean section, unless the woman has received factor concentrates.
Answered by
ayisha
at
10:56 PM on January 09, 2008