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- Title
Platelet storage pool disorder in pregnancy: Utilising thromboelastography to guide a risk-based delivery plan.
- Authors
Snow, Timothy AC; Abdul-Kadir, Rezan A; Gomez, Keith; England, Adrian
- Abstract
We present a case of a 33-year-old woman in her third pregnancy diagnosed with platelet storage pool disorder who had previously suffered two postpartum major obstetric haemorrhages. Platelet storage pool disorder is a rare bleeding disorder where the platelet count is normal but platelet function is impaired due to deficiency of dense granules. A peripartum plan devised by an extensive multi-disciplinary team using principles for managing other bleeding and platelet function disorders helped minimise her risk of major haemorrhage. We also describe how point-of-care thromboelastography can help guide management and enable an individualised risk-benefit discussion with the woman about her anaesthetic choices.
- Subjects
HEMORRHAGE prevention; ANESTHESIA; BLOOD platelets; POINT-of-care testing; THROMBELASTOGRAPHY; RISK assessment; HEALTH care teams; BLOOD platelet disorders; DELIVERY (Obstetrics); PERINATAL period; DISEASE risk factors; PREGNANCY
- Publication
Obstetric Medicine (1753-495X), 2022, Vol 15, Issue 2, p133
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X20980254