Anesthetic Management of a Patient With Type 1 von Willebrand Disease and Uterine Placental Abruption: A Case Report

AANA J. 2018 Jun;86(3):209-212.

Abstract

Von Willebrand disease is the most common inherited blood disorder, occurring in about 1% of the population. It results from a deficiency in the quality or quantity of von Willebrand factor, which is necessary for adequate hemostasis. An evidenced-based approach is prudent when this derangement is coupled with a potentially fatal obstetric complication. This article examines the anesthetic management of a parturient with a known diagnosis of von Willebrand disease who presented to the labor and delivery unit in active labor and with a suspected uterine placental abruption.

Keywords: Abruption; Von Willebrand; anesthesia; placenta; uterus.

Publication types

  • Case Reports

MeSH terms

  • Abruptio Placentae / diagnosis*
  • Abruptio Placentae / nursing
  • Adult
  • Anesthesia, Obstetrical
  • Cesarean Section
  • Deamino Arginine Vasopressin / administration & dosage
  • Diagnosis, Differential
  • Female
  • Humans
  • Nurse Anesthetists
  • Perinatal Care*
  • Pregnancy
  • Pregnancy Complications, Hematologic*
  • Pregnancy Outcome
  • von Willebrand Disease, Type 1*

Substances

  • Deamino Arginine Vasopressin