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what are the %'s and risks during labor and delivery caused by vonwillebrands desease? is there a percent amount of like 1 out of 10 women with vonwillebrands will die during delivery and stuff. is the risk higher if her family has a history of hemoriaging?
Answer
Hi,
I am a doctor..
von Willebrand Disease (vWD) is an inherited disorder(not infectious, as you have classified!) of a clotting factor that affects platelets; it interferes with the blood's ability to clot. About one percent of Americans have vWD. There are several subtypes of this disorder that have somewhat different risks and require different treatment in pregnancy.
vWD is divided into 3 major categories: (1) partial quantitative deficiency (type I), (2) qualitative deficiency (type II), and (3) total deficiency (type III). Qualitative vWD type II is further divided into 4 variants, ie, IIA, IIB, IIN, and IIM, based on the characteristics of the dysfunctional vWF. These categories correspond to distinct molecular mechanisms, with corresponding clinical features and therapeutic requirements
Most women with vWD experience some improvement in their condition during gestation, since the hormones of pregnancy increase many clotting factors. As for childbirth, the bleeding that occurs after the placenta is expelled is normally controlled by uterine contractions, which squeeze the blood vessels and stop the blood from flowing out of the uterus. This mechanism is fully functional in women with clotting disorders. There are times though that vWD does lead to hemorrhaging at childbirth, either immediately while in the delivery room, or at a later time within the next few weeks. Since there are different types of vWD, which respond to different treatments, your hematologist should advise your obstetrician about what to do if you have excess bleeding at birth. Sometimes in severe vWD, medications are given preventatively during labor. Since vWD is hereditary, it also is important to make sure your pediatrician knows about your condition and assesses your baby after delivery.
During pregnancy, the vWF level increases in most patients with nonâtype III disease. Thus, in patients with functionally normal vWF, labor and delivery usually proceed normally. However, patients with type II disease may experience hemorrhagic problems. In particular, patients with type IIB may experience thrombocytopenia due to the increased plasma levels associated with abnormal vWF. All patients should be monitored for excessive bleeding, particularly during the first week postpartum.
While you need to be aware of potential complications, it's generally considered safe to get pregnant with von Willebrand Disease, and most women do quite well through pregnancy and childbirth. Again, I think you should talk to your OB and your hematologist about your own particular situation.
If you want more info, feel free to write to me or visit
www.medicguide.org
This is a free site done by me and other doctors to answer health querries for free.
Hi,
I am a doctor..
von Willebrand Disease (vWD) is an inherited disorder(not infectious, as you have classified!) of a clotting factor that affects platelets; it interferes with the blood's ability to clot. About one percent of Americans have vWD. There are several subtypes of this disorder that have somewhat different risks and require different treatment in pregnancy.
vWD is divided into 3 major categories: (1) partial quantitative deficiency (type I), (2) qualitative deficiency (type II), and (3) total deficiency (type III). Qualitative vWD type II is further divided into 4 variants, ie, IIA, IIB, IIN, and IIM, based on the characteristics of the dysfunctional vWF. These categories correspond to distinct molecular mechanisms, with corresponding clinical features and therapeutic requirements
Most women with vWD experience some improvement in their condition during gestation, since the hormones of pregnancy increase many clotting factors. As for childbirth, the bleeding that occurs after the placenta is expelled is normally controlled by uterine contractions, which squeeze the blood vessels and stop the blood from flowing out of the uterus. This mechanism is fully functional in women with clotting disorders. There are times though that vWD does lead to hemorrhaging at childbirth, either immediately while in the delivery room, or at a later time within the next few weeks. Since there are different types of vWD, which respond to different treatments, your hematologist should advise your obstetrician about what to do if you have excess bleeding at birth. Sometimes in severe vWD, medications are given preventatively during labor. Since vWD is hereditary, it also is important to make sure your pediatrician knows about your condition and assesses your baby after delivery.
During pregnancy, the vWF level increases in most patients with nonâtype III disease. Thus, in patients with functionally normal vWF, labor and delivery usually proceed normally. However, patients with type II disease may experience hemorrhagic problems. In particular, patients with type IIB may experience thrombocytopenia due to the increased plasma levels associated with abnormal vWF. All patients should be monitored for excessive bleeding, particularly during the first week postpartum.
While you need to be aware of potential complications, it's generally considered safe to get pregnant with von Willebrand Disease, and most women do quite well through pregnancy and childbirth. Again, I think you should talk to your OB and your hematologist about your own particular situation.
If you want more info, feel free to write to me or visit
www.medicguide.org
This is a free site done by me and other doctors to answer health querries for free.
What are the hospital procedures for a pregnant woman from the time she enters to when she leaves the hospital
Q. I need to do a school project on pregnancy and babies. And part of it is to research exactly what has to happen for a woman to properly have her baby and leave the hospital. So anyone know the procedures and paperwork? I don't even have the slightest clue. Thanks
Answer
Hmm, it's been a while but here goes...
I had a planned c-section and here's what I remember...
*Register- fill out a general form about insurance, emeregency contacts, etc, give copy of insurance card and driver license (many hospitals allow you to preregister weeks before so you don't have to mess with all that while you are in labor)
*Fill out medical forms (allergies, medical history, etc) and consent forms for the surgery, anesthesia and other stuff
*Get prepped (monitors hooked up to monitor my vitals and the baby and contractions, get IV put in, get shaved at incision site, do an ultrasound to check baby's position)
*Sit and wait til surgeon is ready
*Go to OR
*Get prepped further (get epidural or spinal block, get urinary catheter inserted, lie down and wait to go numb)
*Drape is put up,Doc checks for numbness, and hubby is brought in
*Belly is cleaned/sterilized and surgery begins (they talk you through it, telling you what they are doing and what to expect to feel/experience....yes you do feel stuff)
*pull out baby and hand off to nurse, who rubs clean and puts on security device and bracelet
*pull uterus out to finish it up/sew it up, put it back in, and sew you up
*Let you see baby, let daddy hold him/her
*send baby off to get cleaned, pricked, diapered, etc
(I don't remember the next 30-45 minutes because I was in such pain I asked them to put me under)
*you get taken on your bed to your room (you are still paralyzed... IV and catheter get removed the next day)
*baby is brought in
*the usual hospital stay stuff... docs checking on you, checking on baby goes on for next few days
*someone comes to talk to you to fill out legal paperwork about birth certificate
*you (or hubby) will need to meet with hospital financial person to arrange payment/payment plan
*sign release papers
*put baby in car seat, get pushed out of hospital in wheelchair to go home
Hmm, it's been a while but here goes...
I had a planned c-section and here's what I remember...
*Register- fill out a general form about insurance, emeregency contacts, etc, give copy of insurance card and driver license (many hospitals allow you to preregister weeks before so you don't have to mess with all that while you are in labor)
*Fill out medical forms (allergies, medical history, etc) and consent forms for the surgery, anesthesia and other stuff
*Get prepped (monitors hooked up to monitor my vitals and the baby and contractions, get IV put in, get shaved at incision site, do an ultrasound to check baby's position)
*Sit and wait til surgeon is ready
*Go to OR
*Get prepped further (get epidural or spinal block, get urinary catheter inserted, lie down and wait to go numb)
*Drape is put up,Doc checks for numbness, and hubby is brought in
*Belly is cleaned/sterilized and surgery begins (they talk you through it, telling you what they are doing and what to expect to feel/experience....yes you do feel stuff)
*pull out baby and hand off to nurse, who rubs clean and puts on security device and bracelet
*pull uterus out to finish it up/sew it up, put it back in, and sew you up
*Let you see baby, let daddy hold him/her
*send baby off to get cleaned, pricked, diapered, etc
(I don't remember the next 30-45 minutes because I was in such pain I asked them to put me under)
*you get taken on your bed to your room (you are still paralyzed... IV and catheter get removed the next day)
*baby is brought in
*the usual hospital stay stuff... docs checking on you, checking on baby goes on for next few days
*someone comes to talk to you to fill out legal paperwork about birth certificate
*you (or hubby) will need to meet with hospital financial person to arrange payment/payment plan
*sign release papers
*put baby in car seat, get pushed out of hospital in wheelchair to go home
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