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Dr. Chapa’s OBGYN Clinical Pearls

VWD in Pregnancy

02 Apr 2023

Description

Von Willebrand Disease (VWD) is the most common inherited bleeding disorder among American women, and it may present with a history of mucocutaneous bleeding patterns. Ideally, women should be screened/identified with this condition prior to pregnancy- but that is not always the case. How does VWD affect delivery? Is this a cause of immediate PPH? In this episode we will review the clinical manifestations of VWD in pregnancy. We will: 1. review appropriate labs tests for this evaluation, 2. summarize the recommended management peripartum, and 3. discuss if a C-Section is required in the affected patient. LOTS of material is covered in this episode! (References: ACOG's Clinicals Expert Series, March 2023; ACOG CO 785).

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