الفهرس | Only 14 pages are availabe for public view |
Abstract Background: The mechanisms of hemostasis are complex. Moreover, the process of clot formation is even more complex in the parturient, where changes such as physiological anemia and fluctuating coagulation factor concentrations alter the balance between bleeding and clot formation in preparation for peripartum blood loss. Although thrombosis is certainly of concern in the otherwise healthy parturient, those who also have a coagulation disorder can be difficult to classify on the spectrum between thrombotic and hemorrhagic risk. As women become hypercoaguable as pregnancy progresses, a shift toward hypercoagulability as measured by thromboelastography and rotational thromboelastometry has been reported in uncomplicated pregnancies as pregnancy advances. Aim of the Study: provide a comprehensive overview of recent technologies and approaches developed for the diagnosis and management of Coagulation Disorders for Obstetric Patients. Conclusion: postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality, thus anesthetists must be very careful in the management of obstetric patients with a cautious balancing of all pros and cons before choosing a management strategy. |