[Labour epidural analgesia for a parturient with a factor XI deficiency: an ill-considered challenge or a reasonable risk?]

Ann Fr Anesth Reanim. 2013 Jun;32(6):436-8. doi: 10.1016/j.annfar.2013.04.001. Epub 2013 May 16.
[Article in French]

Abstract

The authors report the performance of a labour epidural analgesia in a 26-year-old parturient presenting a moderate factor XI (FXI) deficiency. If haemostasis disorders usually contraindicate an epidural analgesia (with a risk of epidural haematoma), a moderate FXI deficiency is not an absolute contraindication to perform such an epidural analgesia. Desmopressin, sometimes used in surgery to reduce the bleeding, was administered to withdraw the catheter in better haemostasis conditions. No neurological signs were observed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Analgesia, Epidural / methods*
  • Analgesia, Obstetrical / methods*
  • Blood Coagulation Tests
  • Catheterization / adverse effects
  • Contraindications
  • Deamino Arginine Vasopressin / therapeutic use
  • Disease Susceptibility
  • Factor XI Deficiency*
  • Female
  • Hematoma, Epidural, Spinal / prevention & control
  • Humans
  • Infant, Newborn
  • Obstetric Labor Complications*
  • Postpartum Hemorrhage / prevention & control
  • Pregnancy
  • Pregnancy Complications, Hematologic*
  • Risk

Substances

  • Deamino Arginine Vasopressin